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Phosphatidylinositol 3-kinase (PI3K) inhibitors as cancer therapeutics
Akintunde Akinleye, Parthu Avvaru, Muhammad Furqan
1Division of Hematology/Oncology, Department of Medicine, New York Medical College and Westchester Medical Center, Valhalla, NY 10595, USA. DELONG_LIU@NYMC.EDU.
Abstract:
Phosphatidylinositol 3-kinases (PI3Ks) are lipid kinases that regulate diverse cellular processes including proliferation, adhesion, survival, and motility. Dysregulated PI3K pathway signaling occurs in one-third of human tumors. Aberrantly activated PI3K signaling also confers sensitivity and resistance to conventional therapies. PI3K has been recognized as an attractive molecular target for novel anti-cancer molecules. In the last few years, several classes of potent and selective small molecule PI3K inhibitors have been developed, and at least fifteen compounds have progressed into clinical trials as new anticancer drugs. Among these, idelalisib has advanced to phase III trials in patients with advanced indolent non-Hodgkin's lymphoma and mantle cell lymphoma. In this review, we summarized the major molecules of PI3K signaling pathway, and discussed the preclinical models and clinical trials of potent small-molecule PI3K inhibitors.
Insights
Phosphatidylinositol 3-kinases (PI3K) pathway dysregulation drives cancer. This review covers PI3K signaling, inhibitors, and their clinical trials for novel anti-cancer drug development.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Phosphatidylinositol 3-kinases (PI3Ks) are crucial lipid kinases regulating cell proliferation, survival, and motility.
- Aberrant PI3K pathway signaling is implicated in one-third of human cancers and influences therapeutic responses.
- PI3K is a validated target for developing novel anti-cancer agents.
Purpose of the Study:
- To review key molecules within the PI3K signaling pathway.
- To discuss preclinical models and clinical trials of small-molecule PI3K inhibitors.
- To highlight idelalisib's advancement in clinical trials for specific lymphomas.
Main Methods:
- Literature review of PI3K signaling pathways.
- Analysis of preclinical data for PI3K inhibitors.
- Summary of clinical trial outcomes for PI3K-targeted therapies.
Main Results:
- Several potent and selective small-molecule PI3K inhibitors have been developed.
- At least fifteen PI3K inhibitors have entered clinical trials for cancer treatment.
- Idelalisib has reached Phase III trials for indolent non-Hodgkin's lymphoma and mantle cell lymphoma.
Conclusions:
- Small-molecule PI3K inhibitors represent a promising class of anti-cancer drugs.
- Targeting the PI3K pathway offers therapeutic potential across various malignancies.
- Ongoing clinical investigations continue to evaluate the efficacy and safety of PI3K inhibitors.
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