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Updated: May 22, 2026

Mechanism of Kemeng Fang's Inhibition of Podocyte Apoptosis in Rats with Membranous Nephropathy through the PI3K/AKT Signaling Pathway
Published on: August 23, 2024
Modulation of mitochondrial apoptosis by PI3K inhibitors
1Institute for Experimental Cancer Research in Pediatrics, Goethe-University Frankfurt, Komturstr. 3a, 60528 Frankfurt, Germany. simone.fulda@kgu.de
Abstract:
Most anticancer therapies exert their action by triggering programmed cell death (apoptosis) in cancer cells. The mitochondrial pathway of apoptosis is initiated by mitochondrial outer membrane permeabilization, leading to the release of apoptogenic factors such as cytochrome c or Smac from the mitochondrial intermembrane space into the cytosol. Mitochondrial outer membrane permeabilization is tightly controlled, for example by pro- and anti-apoptotic proteins of the Bcl-2 family. Recent evidence indicates that inhibition of the PI3K/Akt/mTOR pathway by small-molecule PI3K inhibitors primes cancer cells to mitochondrial apoptosis by tipping the balance towards pro-apoptotic Bcl-2 proteins, resulting in increased mitochondrial outer membrane permeabilization. Thus, mitochondrial apoptotic events play an important role in PI3K inhibitor-mediated sensitization for apoptosis.
Insights
Small-molecule PI3K inhibitors enhance cancer cell death by promoting mitochondrial apoptosis. This involves increasing mitochondrial outer membrane permeabilization, crucial for programmed cell death.
Area of Science:
- Oncology
- Molecular Biology
- Cell Death Research
Background:
- Anticancer therapies often induce apoptosis (programmed cell death) in cancer cells.
- The mitochondrial pathway of apoptosis is critical, involving mitochondrial outer membrane permeabilization and release of factors like cytochrome c.
- This process is regulated by Bcl-2 family proteins.
Purpose of the Study:
- To investigate how PI3K/Akt/mTOR pathway inhibition affects mitochondrial apoptosis in cancer cells.
- To understand the role of Bcl-2 family proteins in this process.
Main Methods:
- Utilized small-molecule PI3K inhibitors.
- Examined the impact on mitochondrial outer membrane permeabilization.
- Assessed the balance of pro- and anti-apoptotic Bcl-2 family proteins.
Main Results:
- PI3K/Akt/mTOR pathway inhibition sensitizes cancer cells to mitochondrial apoptosis.
- This sensitization is achieved by shifting the Bcl-2 protein balance towards pro-apoptotic members.
- Increased mitochondrial outer membrane permeabilization was observed.
Conclusions:
- Mitochondrial apoptotic events are key mediators of PI3K inhibitor-induced sensitization.
- Targeting the PI3K/Akt/mTOR pathway offers a strategy to enhance anticancer therapy efficacy through apoptosis.
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