Inhibiting the RAS-PI3K pathway in cancer therapy

Clare Sheridan1, Julian Downward2

  • 1Signal Transduction Laboratory, Cancer Research UK London Research Institute, London, United Kingdom.

The Enzymes
|July 19, 2014
PubMed

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.

Related Concept Videos

Inhibition of Cdk Activity02:34

Inhibition of Cdk Activity

The orderly progression of the cell cycle depends on the activation of Cdk protein by binding to its cyclin partner. However, the cell cycle must be restricted when undergoing abnormal changes. Most cancers correlate to the deregulated cell cycle, and since Cdks are a central component of the cell cycle, Cdk inhibitors are extensively studied to develop anticancer agents. For instance, cyclin D associates with several Cdks, such as Cdk 4/6, to form an active complex. The cyclin D-Cdk4/6 complex...
4.8K
Inhibition of CDK Activity02:34

Inhibition of CDK Activity

4.3K
PI3K/mTOR/AKT Signaling Pathway01:22

PI3K/mTOR/AKT Signaling Pathway

The mammalian target of rapamycin  (mTOR) is a serine/threonine kinase that regulates growth, proliferation, and cell survival in response to hormones, growth factors, or nutrient availability. This kinase exists in two structurally and functionally distinct forms: mTOR complex 1  (mTORC1) and mTOR complex 2  (mTORC2). The first form (mTORC1) is composed of a rapamycin-sensitive Raptor and proline-rich Akt substrate, PRAS40. In contrast,  mTORC2 consists of a...
5.1K
mTOR Signaling and Cancer Progression03:03

mTOR Signaling and Cancer Progression

The mammalian target of rapamycin or mTOR protein was discovered in 1994 due to its direct interaction with rapamycin. The protein gets its name from a yeast homolog called TOR. The mTOR protein complex in mammalian cells plays a major role in balancing anabolic processes such as the synthesis of proteins, lipids, and nucleotides and catabolic processes, such as autophagy in response to environmental cues, such as availability of nutrients and growth factors.
The mTOR pathway or the...
3.6K
The JAK-STAT Signaling Pathway01:20

The JAK-STAT Signaling Pathway

Several cytokine receptors have tightly bound Janus kinase or JAK proteins attached at their cytosolic tail. Small signaling molecules such as cytokines, growth hormones, or prolactins bind to the cytokine receptors and initiate their dimerization. The dimerization brings the cytosolic JAKs together that trans-phosphorylate and activates each other. The activated JAKs now phosphorylate cytosolic tails of the cytokine receptors, which serve as binding sites for adaptor proteins such as  SH2...
10.1K
The Ras Gene02:38

The Ras Gene

The Ras-gene-encoded proteins are regulators of signaling pathways controlling cell proliferation, differentiation, or cell survival. The Ras-gene family in humans constitutes three primary members—the HRas, NRas, and KRas. These genes code for four functionally distinct yet closely related proteins—the HRas, NRas, KRas4A, and KRas4B. The involvement of mutant Ras genes in human cancer was first discovered in 1982 and is among the most common causes of human tumorigenesis.
Ras is a...
5.7K