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

Abstract

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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