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Deciphering the role of PI3K/Akt/mTOR pathway in breast cancer biology and pathogenesis
Priscilla F McAuliffe1, Funda Meric-Bernstam, Gordon B Mills
1Departments of Surgical Oncology, The University of Texas, MD Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX 77030, USA.
Abstract:
The phosphatidylinositol 3-kinase (PI3K)/Akt/mammalian target of rapamycin (mTOR) pathway mediates multiple cellular functions critical to tumor initiation, progression, and outcomes, including growth and proliferation, metabolism, motility, migration, invasion, angiogenesis, survival, and autophagy. Tight regulation of this pathway is paramount to ensure that multiple cellular inputs are integrated for appropriate cellular outcomes. Frequent deregulation and aberrations of this pathway have been implicated in breast cancer development and progression. This review focuses on the biology of this pathway and its role in breast cancer pathogenesis. The role of therapies directed at targeting mTOR in the PI3K/Akt/mTOR pathway, which are currently being evaluated in clinical trials, will also be reviewed.
Insights
The phosphatidylinositol 3-kinase (PI3K)/Akt/mammalian target of rapamycin (mTOR) pathway is crucial for tumor growth and survival. Aberrations in this pathway are linked to breast cancer, and mTOR-targeted therapies are under investigation.
Area of Science:
- Oncology
- Molecular Biology
- Cell Biology
Background:
- The PI3K/Akt/mTOR pathway regulates critical cellular processes like growth, metabolism, and survival.
- Dysregulation of this pathway is frequently observed in breast cancer development and progression.
- Maintaining tight regulation of the PI3K/Akt/mTOR pathway is essential for normal cellular function.
Purpose of the Study:
- To review the fundamental biology of the PI3K/Akt/mTOR pathway.
- To elucidate the role of this pathway in breast cancer pathogenesis.
- To discuss mTOR-targeted therapies currently in clinical trials for breast cancer.
Main Methods:
- Literature review of the PI3K/Akt/mTOR pathway.
- Analysis of the pathway's role in breast cancer.
- Review of clinical trial data for mTOR inhibitors.
Main Results:
- The PI3K/Akt/mTOR pathway controls numerous cellular functions vital for cancer.
- Aberrant PI3K/Akt/mTOR signaling is a key driver in breast cancer.
- mTOR-targeted therapies show promise and are under active clinical investigation.
Conclusions:
- The PI3K/Akt/mTOR pathway is a central regulator of cell functions implicated in cancer.
- Targeting mTOR offers a potential therapeutic strategy for breast cancer patients.
- Further research and clinical trials are necessary to optimize mTOR-targeted treatments.
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