Targeting PI3K/Akt/mTOR Signaling in Cancer

Camillo Porta1, Chiara Paglino1, Alessandra Mosca2

  • 1Medical Oncology, Fondazione I.R.C.C.S. Policlinico San Matteo University Hospital Foundation , Pavia , Italy.

Insights

The phosphatidylinositol-3-kinase (PI3K)/Akt and mammalian target of rapamycin (mTOR) pathways are vital for cell growth and survival, particularly in cancer. This review covers the development of inhibitors targeting these interconnected signaling pathways.

Area of Science:

  • Cell Biology
  • Biochemistry
  • Oncology

Background:

  • The PI3K/Akt and mTOR pathways are critical regulators of cell growth, proliferation, survival, and metabolism.
  • These pathways are frequently dysregulated in various cancers, making them attractive therapeutic targets.
  • The interconnectedness of PI3K/Akt and mTOR suggests a unified signaling network.

Purpose of the Study:

  • To provide an overview of the biological significance and components of the PI3K/Akt and mTOR pathways.
  • To review the current landscape of PI3K, Akt, and mTOR inhibitors in development.
  • To highlight the progression of these inhibitors from preclinical research to clinical application.

Main Methods:

  • Literature review of the PI3K/Akt and mTOR signaling pathways.
  • Analysis of the development status of specific inhibitors targeting PI3K, Akt, and mTOR.
  • Compilation of information on registered medicines and novel compounds.

Main Results:

  • Detailed overview of the PI3K/Akt and mTOR pathway components and their biological roles.
  • Comprehensive summary of existing and emerging PI3K, Akt, and mTOR inhibitors.
  • Categorization of inhibitors based on their stage of development, from bench to bedside.

Conclusions:

  • The PI3K/Akt and mTOR pathways represent a crucial signaling axis in cellular physiology and pathology, especially cancer.
  • Targeting these pathways with specific inhibitors offers significant therapeutic potential.
  • Ongoing development of novel inhibitors promises new treatment strategies for cancer and other diseases.

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