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PI3K/Akt/mTOR pathway inhibitors in cancer: a perspective on clinical progress
1ZJU-ENS Joint Laboratory of Medicinal Chemistry, College of Pharmaceutical Sciences, Zhejiang University, Hangzhou 310058, China.
Abstract:
The phosphoinositide 3-kinase (PI3K)/serine-theronine protein kinase Akt (also known as protein kinase B (PKB))/mammalian target of rapamycin (mTOR) pathway is a vital transduction cascade that is connected with many essential cellular activities, such as growth and survival. Along with extensive pharmacological studies validating the therapeutic potential of targeting the PI3K/Akt/mTOR pathway for the treatment of cancer, kinase inhibitors targeting significant knots of this pathway including PI3K, Akt, mTOR, and 3-phosphoinositide-dependent protein kinase-1 (PDK-1) keep arising and entering clinical studies. Herein, we review the most up-to-date landscape on developing small-molecule kinase inhibitors targeting the PI3K/Akt/mTOR pathway, with emphasis on small-molecule inhibitors which have been progressed into clinical studies.
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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