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Development of PI3K/AKT/mTOR pathway inhibitors and their application in personalized therapy for non-small-cell lung
Vassiliki Papadimitrakopoulou1
1Department of Thoracic/Head and Neck Medical Oncology, UT/MD Anderson Cancer Center, Houston, Texas 77030 , USA. vpapadim@mdanderson.org
Abstract:
Lung cancer is a common disease with more than 1.6 million new cases diagnosed worldwide in 2008. Treatments for patients with advanced disease are rarely curative, and responses to therapy are often followed by relapse, which highlights the large unmet need for novel therapies. Recent advances in cancer treatment have focused on personalized therapy, whereby patients are treated with agents that best target the molecular drivers of their disease. Thus, a better understanding of the pathways that drive cancer or drug resistance is of critical importance. One such example is the phosphatidylinositol 3-kinase (PI3K)/AKT/mammalian target of rapamycin (mTOR) pathway, which is activated in many lung cancer patients and represents a target for therapy. PI3K/AKT/mTOR pathway activation has also been observed in tumors resistant to agents targeting upstream receptor tyrosine kinases. Agents that target this pathway have the potential to shut down survival pathways, and are being explored both in the setting of pathway-activating mutations and for their ability to restore sensitivity to upstream signaling targeted agents. Here, we examine the frequency of mutations activating the PI3K/AKT/mTOR pathway, review the novel agents being explored to target this pathway, and explore the potential role of the inhibition of this pathway in the clinical development of these agents.
Insights
Novel lung cancer therapies targeting the phosphatidylinositol 3-kinase (PI3K)/AKT/mammalian target of rapamycin (mTOR) pathway show promise for overcoming treatment resistance and improving patient outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Lung cancer is a prevalent disease with limited curative treatment options for advanced stages, indicating a significant unmet medical need.
- Personalized therapy, targeting molecular drivers, is a key advancement in cancer treatment.
- Understanding pathways driving cancer and drug resistance, such as the PI3K/AKT/mTOR pathway, is crucial for developing novel therapies.
Purpose of the Study:
- To investigate the frequency of activating mutations within the PI3K/AKT/mTOR pathway in lung cancer.
- To review emerging therapeutic agents designed to target this critical pathway.
- To explore the potential role of PI3K/AKT/mTOR pathway inhibition in the clinical development of new lung cancer treatments.
Main Methods:
- Examination of mutation frequencies in the PI3K/AKT/mTOR pathway.
- Review of novel therapeutic agents targeting the PI3K/AKT/mTOR pathway.
- Analysis of the potential clinical applications of pathway inhibition strategies.
Main Results:
- The PI3K/AKT/mTOR pathway is frequently activated in lung cancer patients.
- Activation of this pathway is also observed in tumors resistant to other targeted therapies.
- Novel agents targeting the PI3K/AKT/mTOR pathway are under investigation for their therapeutic potential.
Conclusions:
- Targeting the PI3K/AKT/mTOR pathway offers a promising strategy for lung cancer treatment.
- Inhibition of this pathway may overcome resistance to existing therapies and improve treatment efficacy.
- Further clinical development of PI3K/AKT/mTOR inhibitors is warranted for lung cancer patients.
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