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Targeting the PI3K/mTOR Pathway in Pediatric Hematologic Malignancies
Sarah K Tasian1, David T Teachey1, Susan R Rheingold1
1Division of Oncology, Department of Pediatrics, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine , Philadelphia, PA , USA.
Dysregulated phosphatidylinositol 3-kinase (PI3K)/mammalian target of rapamycin (mTOR) signaling promotes hematologic malignancies. This review covers PI3K/mTOR inhibitors in development for these cancers, particularly in pediatric patients.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Intracellular signaling networks control cell growth and survival; their dysregulation is common in malignancies.
- The phosphatidylinositol 3-kinase (PI3K)/protein kinase B (Akt)/mammalian target of rapamycin (mTOR) pathway is crucial for cell proliferation and survival.
- Aberrant PI3K/mTOR signaling confers a survival advantage to cancer cells and can lead to chemotherapy resistance in hematologic malignancies.
Purpose of the Study:
- To discuss the dysregulation of the PI3K/mTOR signaling pathway in various hematologic malignancies.
- To review current and emerging PI3K/mTOR pathway inhibitors used in clinical trials.
- To emphasize the investigation of these inhibitors in pediatric hematologic malignancies.
Main Methods:
- Literature review of PI3K/mTOR signaling in hematologic malignancies.
- Analysis of current therapeutic strategies targeting the PI3K/mTOR pathway.
- Focus on ongoing clinical trials and drug development for pediatric hematologic malignancies.
Main Results:
- The PI3K/mTOR pathway is frequently dysregulated in hematologic cancers, including leukemias and lymphomas.
- Numerous small molecule inhibitors targeting the PI3K/mTOR pathway are under active investigation.
- Early-stage research shows promise for these inhibitors, especially in pediatric hematologic malignancies.
Conclusions:
- Targeting the PI3K/mTOR pathway represents a promising therapeutic strategy for hematologic malignancies.
- Continued investigation and development of PI3K/mTOR inhibitors are crucial for improving patient outcomes.
- Pediatric hematologic malignancies are a key focus for the clinical application of these novel therapies.
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