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PI3K/AKT signaling pathway and cancer: an updated review
Miriam Martini1, Maria Chiara De Santis, Laura Braccini
1Molecular Biotechnology Center, Department of Molecular Biotechnology and Health Sciences, University of Turin , Italy.
Abstract:
Despite development of novel agents targeting oncogenic pathways, matching targeted therapies to the genetic status of individual tumors is proving to be a daunting task for clinicians. To improve the clinical efficacy and to reduce the toxic side effects of treatments, a deep characterization of genetic alterations in different tumors is required. The mutational profile often evidences a gain of function or hyperactivity of phosphoinositide 3-kinases (PI3Ks) in tumors. These enzymes are activated downstream tyrosine kinase receptors (RTKs) and/or G proteins coupled receptors (GPCRs) and, via AKT, are able to induce mammalian target of rapamycin (mTOR) stimulation. Here, we elucidate the impact of class I (p110α, β, γ, and δ) catalytic subunit mutations on AKT-mediated cellular processes that control crucial mechanisms in tumor development. Moreover, the interrelation of PI3K signaling with mTOR, ERK, and RAS pathways will be discussed, exploiting the potential benefits of PI3K signaling inhibitors in clinical use.
Insights
Targeted cancer therapies face challenges in matching treatments to tumor genetics. This study details how phosphoinositide 3-kinases (PI3Ks) mutations impact tumor growth and discusses PI3K inhibitors for improved clinical efficacy.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Targeted therapies require precise matching to individual tumor genetic profiles for efficacy.
- Gain-of-function mutations in phosphoinositide 3-kinases (PI3Ks) are frequently observed in various cancers.
- PI3K signaling is a critical pathway activated by receptor tyrosine kinases (RTKs) and G protein-coupled receptors (GPCRs), leading to cell proliferation and survival via AKT and mTOR.
Purpose of the Study:
- To investigate the role of class I PI3K catalytic subunit mutations (p110α, β, γ, δ) in AKT-mediated cellular processes relevant to tumor development.
- To explore the interconnectedness of the PI3K signaling pathway with other key oncogenic pathways, including mTOR, ERK, and RAS.
- To evaluate the therapeutic potential of PI3K signaling inhibitors in clinical oncology.
Main Methods:
- Analysis of genetic alterations and mutational profiles in tumor samples.
- Elucidation of signaling pathway interactions using molecular biology techniques.
- Review of existing literature and clinical data on PI3K signaling inhibitors.
Main Results:
- Class I PI3K catalytic subunit mutations significantly influence AKT-mediated cellular functions critical for tumorigenesis.
- The PI3K pathway exhibits complex interrelations with mTOR, ERK, and RAS signaling networks.
- PI3K pathway dysregulation is a common feature across diverse tumor types, highlighting its oncogenic importance.
Conclusions:
- Understanding PI3K mutations is crucial for developing effective targeted cancer therapies.
- Inhibitors targeting the PI3K pathway hold significant promise for improving treatment outcomes and reducing side effects.
- Further research into PI3K pathway modulation could lead to novel therapeutic strategies for various malignancies.
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