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PI3K and mTOR signaling pathways in cancer: new data on targeted therapies
Lise Willems1, Jerome Tamburini, Nicolas Chapuis
1Institut Cochin, Université Paris Descartes, CNRS UMR8104, Paris Inserm, U1016, Paris, France.
Abstract:
The mammalian target of rapamycin (mTOR) and the phosphoinositide 3-kinase (PI3K) signaling pathways are commonly deregulated in cancers and promote cellular growth, proliferation, and survival. mTOR is part of two complexes, mTORC1 and mTORC2, with different biochemical structures and substrates specificity. PI3K/AKT activation may result from genetic hits affecting different components of the pathway, whereas the mechanisms leading to constitutive mTORC1 activation remain globally unknown. The connections between the PI3K and mTOR kinases are multiple and complex, including common substrates, negative feedback loops, or direct activation mechanisms. First-generation allosteric mTOR inhibitors (eg, rapamycin) are mainly active on mTORC1 and mostly display cytostatic anti-tumor activity. Recently, second-generation catalytic mTOR inhibitors targeting both mTOR complexes 1 and 2 have been developed. Some of them also inhibit class IA PI3K. Here, we highlight recent data generated with these new inhibitors against cancer cells and their potential as anti-cancer drugs.
Insights
New mTOR inhibitors targeting both mTORC1 and mTORC2, some also inhibiting PI3K, show promise as anti-cancer drugs. These second-generation inhibitors offer potential for improved cancer treatment strategies.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Deregulation of phosphoinositide 3-kinase (PI3K) and mammalian target of rapamycin (mTOR) signaling pathways is common in cancer, promoting tumor growth and survival.
- mTOR functions in two complexes, mTORC1 and mTORC2, with distinct structures and substrate specificities. Constitutive mTORC1 activation mechanisms are not fully understood.
- Complex crosstalk exists between PI3K and mTOR pathways, involving shared substrates, feedback loops, and direct activation.
Purpose of the Study:
- To review recent advancements in second-generation mTOR inhibitors.
- To evaluate the anti-cancer potential of novel inhibitors targeting both mTORC1 and mTORC2.
- To explore inhibitors that also target class IA PI3K.
Main Methods:
- Review of recent scientific literature and preclinical data.
- Analysis of novel catalytic mTOR inhibitors.
- Evaluation of inhibitor activity against cancer cells.
Main Results:
- First-generation mTOR inhibitors (e.g., rapamycin) primarily target mTORC1 and exhibit cytostatic effects.
- Second-generation mTOR inhibitors target both mTORC1 and mTORC2.
- Some new inhibitors demonstrate dual activity against mTOR and class IA PI3K, showing potential in cancer models.
Conclusions:
- Second-generation mTOR inhibitors targeting both mTORC1 and mTORC2 represent a promising therapeutic strategy in oncology.
- Dual PI3K/mTOR inhibitors may offer enhanced anti-tumor efficacy.
- Further investigation into these novel inhibitors is warranted for their clinical application in cancer treatment.
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