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Published on: June 6, 2025
Targeting the PI3K/AKT/mTOR signaling network in acute myelogenous leukemia
Alberto M Martelli1, Camilla Evangelisti, Francesca Chiarini
1Università di Bologna, Dipartimento di Scienze Anatomiche Umane, 40126 Bologna, Italy. alberto.martelli@unibo.it
Background:
The PI3K/Akt/mammalian target of rapamycin (mTOR) signaling pathway plays a central role in cell growth, proliferation and survival not only under physiological conditions but also in a variety of tumor cells. Therefore, the PI3K/Akt/mTOR axis may be a critical target for cancer therapy.
Objective:
This review discusses how PI3K/Akt/mTOR signaling network is constitutively active in acute myelogenous leukemia (AML), where it strongly influences proliferation, survival and drug-resistance of leukemic cells, and how effective targeting of this pathway with pharmacological inhibitors, used alone or in combination with existing drugs, may result in suppression of leukemic cell growth, including leukemic stem cells.
Methods:
We searched the literature for articles dealing with activation of this pathway in AML and highlighting the efficacy of small molecules directed against the PI3K/Akt/mTOR signaling cascade.
Conclusions:
The limit of acceptable toxicity for standard chemotherapy has been reached in AML. Therefore, new therapeutic strategies are needed. Targeting the PI3K/Akt/mTOR signaling network with small molecule inhibitors, alone or in combinations with other drugs, may result in less toxic and more efficacious treatment of AML patients. Efforts to exploit selective inhibitors of the PI3K/Akt/mTOR pathway that show effectiveness and safety in the clinical setting are currently underway.
Insights
Targeting the PI3K/Akt/mammalian target of rapamycin (mTOR) pathway shows promise for treating acute myelogenous leukemia (AML). Inhibitors may offer a less toxic and more effective therapy for AML patients.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- The PI3K/Akt/mammalian target of rapamycin (mTOR) signaling pathway is crucial for cell growth, proliferation, and survival.
- This pathway is frequently dysregulated in various cancers, including acute myelogenous leukemia (AML).
Purpose of the Study:
- To review the constitutive activation of the PI3K/Akt/mTOR signaling network in AML.
- To discuss the potential of targeting this pathway for AML therapy.
Main Methods:
- Literature search for articles on PI3K/Akt/mTOR pathway activation in AML.
- Identification of studies evaluating small molecule inhibitors of this cascade.
Main Results:
- The PI3K/Akt/mTOR pathway significantly influences AML cell proliferation, survival, and drug resistance.
- Targeting this network can suppress leukemic cell growth, including leukemic stem cells.
Conclusions:
- Standard chemotherapy for AML has reached its toxicity limits, necessitating novel strategies.
- Targeting the PI3K/Akt/mTOR pathway with inhibitors, alone or in combination, offers a potentially less toxic and more effective treatment for AML.
- Clinical development of selective PI3K/Akt/mTOR inhibitors for AML is ongoing.
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