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Inhibiting the RAS-PI3K pathway in cancer therapy
Clare Sheridan1, Julian Downward2
1Signal Transduction Laboratory, Cancer Research UK London Research Institute, London, United Kingdom.
Abstract:
The PI3K pathway is over-activated in the majority of human cancers. This may occur through oncogenic activation of upstream RAS isoforms and tyrosine kinase receptors, or by mutational activation of components of the PI3K pathway themselves. Stimulation of the PI3K pathway enhances growth, survival, and metabolism of cancer cells. Migration, invasion, and angiogenesis are also supported by PI3K signaling. Thus, the PI3K pathway is an attractive candidate for the therapeutic targeting of tumors. Multiple kinases within the PI3Ks, AKT, and mTOR pathway have been selected for inhibition, and dual inhibitors have also been produced. Recently, the development of kinase inhibitors with enhanced specificity and improved pharmacokinetics has facilitated the investigation of PI3K pathway inhibition in clinical trials. Initial reports are encouraging, with tolerable toxicity profiles reported. PI3K inhibitors have provided some benefit as single-agent treatments of advanced solid tumors and the possibilities for enhanced effect with combination treatments look promising. In this chapter, we describe the PI3K inhibitors currently under investigation for the treatment of cancer and discuss the opportunities and obstacles that have been revealed by the latest preclinical and clinical studies.
Insights
The phosphoinositide 3-kinase (PI3K) pathway is frequently over-activated in cancers, driving tumor growth and survival. PI3K inhibitors are being investigated in clinical trials for cancer treatment, showing promising results and tolerable toxicity.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- The phosphoinositide 3-kinase (PI3K) pathway is a critical regulator of cell growth, survival, and metabolism.
- Over-activation of the PI3K pathway, through various genetic alterations, is a common event in human cancers.
- This pathway's role in promoting tumor progression, including migration, invasion, and angiogenesis, makes it a key therapeutic target.
Purpose of the Study:
- To review PI3K inhibitors currently under investigation for cancer treatment.
- To discuss the opportunities and challenges identified in recent preclinical and clinical studies of PI3K pathway inhibition.
Main Methods:
- Review of PI3K inhibitors in preclinical and clinical development.
- Analysis of clinical trial data regarding efficacy and toxicity profiles.
- Discussion of combination treatment strategies.
Main Results:
- PI3K pathway inhibition is being actively explored in clinical trials for various cancers.
- Initial clinical trial results indicate tolerable toxicity profiles for PI3K inhibitors.
- Single-agent PI3K inhibitors have shown some benefit in advanced solid tumors.
Conclusions:
- PI3K pathway inhibitors represent a promising therapeutic strategy for cancer treatment.
- Combination therapies involving PI3K inhibitors may offer enhanced anti-cancer effects.
- Further investigation is needed to overcome obstacles and optimize the use of PI3K inhibitors in oncology.
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