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A 3D Organotypic Melanoma Spheroid Skin Model
Published on: May 18, 2018
Therapeutic implications of targeting the PI3Kinase/AKT/mTOR signaling module in melanoma therapy
Ali R Jazirehi1, Peter B Wenn, Mohsen Damavand
1Department of Surgery, Division of Surgical Oncology, and the Jonsson Comprehensive Cancer Center, David Geffen School of Medicine at UCLA, University of California at Los Angeles Los Angeles, CA, USA. ajazirehi@mednet.ucla.edu
Abstract:
The PI3Kinase/AKT/mTOR signaling module is implicated in various cellular functions including cell survival, growth and proliferation, glucose metabolism, apoptosis, migration, and angiogenesis. Increased expression of AKT and its up- and downstream regulators is linked to several types of cancer. Aberrant expression of AKT is observed in nearly 60% of melanomas culminating in apoptosis resistance via deactivation of apoptotic molecules Bad and Cas-pase-9. Through cross-talk with NF-κB, ERK1/2, JNK and p38MAPK signaling pathways, AKT induces a plethora of cellular effects often leading to tumor development and progression. Due to frequently observed resistance to other common cancer treatments such as chemotherapy, immunotherapy, and radiation, and the detrimental consequences of constitutive activation of the PI3Kinase/AKT/mTOR signaling module, targeted inhibition of the effectors and substrates involved in this module has become a viable and attractive option for molecular targeted therapy in melanoma. Pharmacological inhibitors of various components of this module, either alone or in combination with other agents, have shown significant decrease in proliferation, tumorigenesis, cell growth and survival of various tumors in phases I and II clinical trials. Some inhibitors have even received their Food and Drug Administration (FDA) approval. This review summarizes the current knowledge on this module, its cross-talk with other major cell survival pathways and its targeted inhibition for therapeutic purposes in melanoma.
Insights
Targeting the PI3K/AKT/mTOR pathway offers a promising strategy for melanoma treatment. Inhibiting this signaling module shows potential in reducing tumor growth and improving survival rates in clinical trials.
Area of Science:
- Oncology
- Molecular Biology
- Cell Signaling
Background:
- The PI3K/AKT/mTOR pathway regulates critical cellular processes like survival, growth, and metabolism.
- Dysregulation of this pathway, particularly AKT, is prevalent in cancers, including melanoma, leading to apoptosis resistance.
- AKT signaling interacts with other pathways (NF-κB, MAPK) promoting tumor development.
Purpose of the Study:
- To review the role of the PI3K/AKT/mTOR pathway in melanoma.
- To explore its cross-talk with other survival pathways.
- To summarize targeted inhibition strategies for melanoma therapy.
Main Methods:
- Literature review of PI3K/AKT/mTOR signaling in melanoma.
- Analysis of cross-talk with other cellular pathways.
- Summary of preclinical and clinical trial data on targeted inhibitors.
Main Results:
- Aberrant AKT expression is found in ~60% of melanomas, conferring apoptosis resistance.
- AKT pathway activation contributes to tumor development and progression via cross-talk with other signaling cascades.
- Pharmacological inhibitors targeting this module have demonstrated efficacy in reducing tumor proliferation and survival.
Conclusions:
- Targeted inhibition of the PI3K/AKT/mTOR pathway is a viable therapeutic strategy for melanoma.
- Combination therapies involving these inhibitors show promise.
- Further clinical investigation of these targeted agents is warranted.
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