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Published on: April 22, 2019
EGFR-PI3K-AKT-mTOR signaling in head and neck squamous cell carcinomas: attractive targets for molecular-oriented
Christian Freudlsperger1, Jeffrey R Burnett, Jay A Friedman
1National Institute on Deafness and Other Communication Disorders, National Institutes of Health, Head and Neck Surgery Branch, Bethesda, MD 20892, USA.
Importance Of The Field:
Recent advances in the understanding of the oncogenesis of head and neck squamous cell carcinomas (HNSCC) have revealed multiple dysregulated signaling pathways. One frequently altered axis is the EGFR-PI3K-Akt-mTOR pathway. This pathway plays a central role in numerous cellular processes including metabolism, cell growth, apoptosis, survival and differentiation, which ultimately contributes to HNSCC progression.
Areas Covered In This Review:
Books, journals, databases and websites have been searched to provide a current review on the subject.
What The Reader Will Gain:
This article reviews the current understanding of EGFR-PI3K-Akt-mTOR signaling in HNSCC, including the impact of both genetic and epigenetic alterations. This review further highlights the potential of targeting this signaling cascade as a promising therapeutic approach in the treatment of HNSCC.
Take Home Message:
Genetic alterations of several nodes within this pathway, including both genetic and epigenetic changes, leading to either oncogene activation or inactivation of tumor suppressors have frequently been implicated in HNSCC. Consequently, drugs that target the central nodes of this pathway have become attractive for molecular oriented cancer therapies. Numerous preclinical and clinical studies are being performed in HNSCC; however, more studies are still needed to better understand the biology of this pathway.
Insights
Altered EGFR-PI3K-Akt-mTOR signaling drives head and neck squamous cell carcinoma (HNSCC) progression. Targeting this pathway offers a promising therapeutic strategy for HNSCC treatment.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Genetics
Background:
- Head and neck squamous cell carcinomas (HNSCC) involve multiple dysregulated signaling pathways.
- The EGFR-PI3K-Akt-mTOR pathway is frequently altered and crucial for HNSCC oncogenesis.
- This pathway regulates key cellular processes like metabolism, growth, and apoptosis, contributing to tumor progression.
Purpose of the Study:
- To review the current understanding of the EGFR-PI3K-Akt-mTOR signaling pathway in HNSCC.
- To examine the impact of genetic and epigenetic alterations on this pathway.
- To highlight the therapeutic potential of targeting this cascade in HNSCC.
Main Methods:
- Comprehensive literature search of books, journals, databases, and websites.
- Review and synthesis of current research on EGFR-PI3K-Akt-mTOR signaling in HNSCC.
- Analysis of genetic and epigenetic alterations affecting the pathway.
Main Results:
- Genetic and epigenetic alterations in the EGFR-PI3K-Akt-mTOR pathway are common in HNSCC.
- These alterations lead to oncogene activation or tumor suppressor inactivation.
- Targeting central nodes of this pathway shows therapeutic promise.
Conclusions:
- Dysregulation of the EGFR-PI3K-Akt-mTOR pathway is a hallmark of HNSCC.
- Targeted therapies against this pathway are attractive for molecularly oriented cancer treatment.
- Further research is needed to fully elucidate pathway biology and optimize therapeutic strategies.
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