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Targeting the PI3K-AKT-mTOR pathway: progress, pitfalls, and promises
Timothy A Yap1, Michelle D Garrett, Mike I Walton
1Cancer Research UK Centre for Cancer Therapeutics, The Institute of Cancer Research, 15 Cotswold Road, Sutton, Surrey, UK.
Abstract:
The strategy of 'drugging the cancer kinome' has led to the successful development and regulatory approval of several novel molecular targeted agents. The spotlight is now shifting to the phosphatidylinositide 3-kinase (PI3K)-AKT-mammalian target of rapamycin (mTOR) pathway as a key potential target. This review details the role of the pathway in oncogenesis and the rationale for inhibiting its vital components. The focus will be on the progress made in the development of novel therapies for cancer treatment, with emphasis placed on agents that have entered clinical development. Strategies involving horizontal and vertical blockade of the pathway, as well as the use of biomarkers to select appropriate patients and to provide proof of target modulation will also be highlighted. Finally, we discuss the issues and limitations involved with targeting the PI3K-AKT-mTOR pathway, and predict what the future may hold for these novel anticancer therapeutics.
Insights
Targeting the phosphatidylinositide 3-kinase (PI3K)-AKT-mammalian target of rapamycin (mTOR) pathway offers a promising strategy for novel cancer therapeutics. This review highlights progress in developing PI3K-AKT-mTOR pathway inhibitors for cancer treatment.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- The 'drugging the cancer kinome' strategy has yielded successful molecular targeted agents.
- The phosphatidylinositide 3-kinase (PI3K)-AKT-mammalian target of rapamycin (mTOR) pathway is a critical target in oncogenesis.
- Understanding this pathway is crucial for developing new cancer therapies.
Purpose of the Study:
- To review the role of the PI3K-AKT-mTOR pathway in cancer.
- To detail the development of novel therapies targeting this pathway.
- To discuss strategies, challenges, and future directions for PI3K-AKT-mTOR pathway inhibitors.
Main Methods:
- Literature review of preclinical and clinical studies.
- Analysis of therapeutic strategies targeting the PI3K-AKT-mTOR pathway.
- Discussion of biomarker utility in patient selection and target modulation.
Main Results:
- Several novel molecular targeted agents have been developed.
- Emphasis on agents that have entered clinical development for cancer treatment.
- Exploration of horizontal and vertical blockade strategies for pathway inhibition.
Conclusions:
- Targeting the PI3K-AKT-mTOR pathway is a key focus for novel cancer therapeutics.
- Biomarkers are essential for patient selection and confirming target modulation.
- Further research is needed to overcome limitations and optimize these anticancer agents.
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