PI3K/Akt/mTOR pathway inhibitors in cancer: a perspective on clinical progress

P Wu1, Y-Z Hu

  • 1ZJU-ENS Joint Laboratory of Medicinal Chemistry, College of Pharmaceutical Sciences, Zhejiang University, Hangzhou 310058, China.

Insights

Targeting the PI3K/Akt/mTOR pathway with small-molecule kinase inhibitors shows therapeutic potential for cancer treatment. This review details the latest inhibitors developed for this pathway and their progression into clinical studies.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • The phosphoinositide 3-kinase (PI3K)/Akt/mammalian target of rapamycin (mTOR) pathway regulates critical cellular functions like growth and survival.
  • Dysregulation of this pathway is implicated in various cancers, making it a key therapeutic target.
  • Numerous small-molecule kinase inhibitors targeting PI3K, Akt, mTOR, and PDK-1 are under development.

Purpose of the Study:

  • To provide an up-to-date review of small-molecule kinase inhibitors targeting the PI3K/Akt/mTOR pathway.
  • To focus on inhibitors that have advanced into clinical studies for cancer treatment.

Main Methods:

  • Literature review of recent pharmacological studies.
  • Analysis of clinical trial data for PI3K/Akt/mTOR pathway inhibitors.
  • Synthesis of information on small-molecule kinase inhibitors in development.

Main Results:

  • A growing number of small-molecule kinase inhibitors targeting the PI3K/Akt/mTOR pathway are progressing through clinical development.
  • These inhibitors target key nodes including PI3K, Akt, mTOR, and PDK-1.
  • The therapeutic potential of targeting this pathway for cancer treatment is extensively validated.

Conclusions:

  • Small-molecule kinase inhibitors targeting the PI3K/Akt/mTOR pathway represent a promising area of cancer therapy development.
  • Continued research and clinical investigation are crucial for advancing these therapies.
  • The landscape of these inhibitors is rapidly evolving, with many entering clinical studies.

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