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Published on: August 23, 2019
The PI3K-Akt-mTOR pathway in initiation and progression of thyroid tumors
Motoyasu Saji1, Matthew D Ringel
1Divisions of Endocrinology, Diabetes and Metabolism, The Ohio State University Medical Center, The Ohio State University and The Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, The Ohio State University, Columbus, OH, USA.
Abstract:
The phosphoinositide-3 (OH) kinase (PI3K) signaling cascade is involved in regulating glucose uptake and metabolism, growth, motility, and other essential functions for cell survival. Unregulated activation of this pathway commonly occurs in cancer through a variety of mechanisms, including genetic mutations of kinases and regulatory proteins, epigenetic alterations that alter gene expression and translation, and posttranslational modifications. In thyroid cancer, constitutive activation of PI3K signaling has been shown to play a role in the genetic predisposition for thyroid neoplasia in Cowden's syndrome, and is recognized to be frequently overactivated in sporadic forms of thyroid cancer including those with aggressive clinical behaviors. In this review, the key signaling molecules in the PI3K signaling cascade, the abnormalities known to occur in thyroid cancer, and the potential for therapeutic targeting of PI3K pathway members will be discussed.
Insights
The phosphoinositide-3 (OH) kinase (PI3K) pathway regulates cell functions and its overactivation is common in cancer. This review discusses PI3K signaling in thyroid cancer and its therapeutic potential.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- The phosphoinositide-3 (OH) kinase (PI3K) signaling cascade is crucial for cell survival, regulating glucose metabolism, growth, and motility.
- Aberrant PI3K pathway activation is a hallmark of many cancers, driven by genetic mutations, epigenetic changes, and posttranslational modifications.
Purpose of the Study:
- To review the key signaling molecules within the PI3K cascade.
- To examine known PI3K pathway abnormalities in thyroid cancer.
- To discuss the therapeutic targeting potential of PI3K pathway members in thyroid cancer.
Main Methods:
- Literature review of PI3K signaling in cancer.
- Analysis of genetic and epigenetic alterations in thyroid cancer related to PI3K.
- Discussion of therapeutic strategies targeting the PI3K pathway.
Main Results:
- Constitutive PI3K activation is implicated in thyroid neoplasia, including Cowden's syndrome.
- Overactivation of PI3K signaling is frequently observed in sporadic thyroid cancers, correlating with aggressive behaviors.
Conclusions:
- The PI3K pathway is a significant contributor to thyroid cancer development and progression.
- Targeting PI3K pathway components presents a promising therapeutic avenue for thyroid cancer treatment.
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