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Multiomics Analysis of TMEM200A as a Pan-Cancer Biomarker
Published on: September 15, 2023
Targeting AKT protein kinase in gastric cancer
Khaldoun Almhanna1, Jonathan Strosberg, Mokenge Malafa
1Department of Gastrointestinal Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL 33612, USA.
Abstract:
Gastric cancer is a highly lethal malignancy with more than 700,000 deaths every year worldwide. Despite significant improvements in our understanding of disease biology, the 5-year survival rates remain low. With the exception of trastuzumab, targeted agents have failed to add any meaningful benefit for this patient population, despite promising pre-clinical data. Protein kinase B (AKT) is essential for cell growth, proliferation, and survival. Aberrant activation of AKT is one of the most common molecular findings in human malignancies including gastric cancer, and it is believed to play an important role in cancer cell survival and chemotherapy resistance. Combining phosphatidylinositol 3-kinase (PI3K)/AKT pathway inhibitors with chemotherapy has successfully attenuated chemotherapeutic resistance in gastric cancer cell lines. Drugs designed to specifically target AKT are now being developed for clinical use. In this article, we will review the current knowledge on AKT signaling in the pathogenesis of gastric cancer and the evolving therapeutic implications of targeting this pathway.
Insights
Gastric cancer remains a deadly disease with poor survival rates. Targeting the AKT pathway shows promise in overcoming chemotherapy resistance and improving treatment outcomes for patients.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Gastric cancer is a leading cause of cancer death globally, with persistently low 5-year survival rates.
- Targeted therapies have shown limited success, except for trastuzumab, despite extensive research.
- Aberrant activation of Protein Kinase B (AKT) signaling is common in gastric cancer, contributing to survival and drug resistance.
Purpose of the Study:
- To review current knowledge on AKT signaling in gastric cancer pathogenesis.
- To explore the therapeutic potential of targeting the PI3K/AKT pathway in gastric cancer.
Main Methods:
- Review of existing literature on AKT signaling and gastric cancer.
- Analysis of pre-clinical data on PI3K/AKT pathway inhibitors in combination with chemotherapy.
- Discussion of ongoing clinical development of AKT-targeted drugs.
Main Results:
- The PI3K/AKT pathway plays a crucial role in gastric cancer cell survival and resistance to chemotherapy.
- Combining PI3K/AKT pathway inhibitors with chemotherapy has demonstrated efficacy in preclinical gastric cancer models.
- Development of novel AKT-specific inhibitors is advancing for clinical application.
Conclusions:
- Targeting the AKT pathway represents a promising therapeutic strategy for gastric cancer.
- Overcoming chemotherapy resistance through AKT inhibition could significantly improve patient outcomes.
- Further clinical investigation of AKT-targeted therapies is warranted for gastric cancer treatment.
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