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Published on: August 23, 2019
PI3K/Akt/mTOR signaling in medullary thyroid cancer: a promising molecular target for cancer therapy
Gloria Irene Manfredi1, Alessandra Dicitore, Germano Gaudenzi
1Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Abstract:
The phosphatidylinositol 3-kinase (PI3K)/Akt/mammalian target of rapamycin (mTOR) pathway is a central hub for the regulation of cell proliferation, apoptosis, cell cycle, metabolism, and angiogenesis. Several studies have recently suggested that the PI3K/Akt/mTOR signaling pathway is implicated in the pathogenesis and progression of neuroendocrine tumors. Medullary thyroid cancer (MTC) is a neuroendocrine tumor developing from the C cells of the thyroid. Mutations in the RET proto-oncogene are involved in the pathogenesis of several forms of MTC. The deregulation of the PI3K/Akt/mTOR pathway seems to contribute to the tumorigenic activity of RET proto-oncogene mutations. Targeting this pathway through specific inhibitors at simple or multiple sites may represent an attractive potential therapeutic approach for patients with advanced MTCs. The aim of this review is to examine the role of the PI3K/Akt/mTOR pathway in the development and progression of MTC and the new therapeutic options that target this signaling pathway.
Insights
The phosphatidylinositol 3-kinase (PI3K)/Akt/mammalian target of rapamycin (mTOR) pathway is crucial in neuroendocrine tumor progression. Targeting this pathway offers potential new therapies for advanced medullary thyroid cancer (MTC).
Area of Science:
- Oncology
- Molecular Biology
- Signaling Pathways
Background:
- The PI3K/Akt/mTOR pathway regulates critical cellular processes like proliferation and apoptosis.
- This pathway is increasingly implicated in the pathogenesis and progression of neuroendocrine tumors.
- Medullary thyroid cancer (MTC) is a neuroendocrine tumor associated with RET proto-oncogene mutations.
Purpose of the Study:
- To review the role of the PI3K/Akt/mTOR pathway in MTC development and progression.
- To explore novel therapeutic strategies targeting this pathway for advanced MTC.
Main Methods:
- Literature review of studies on PI3K/Akt/mTOR signaling in MTC.
- Analysis of the connection between RET mutations and PI3K/Akt/mTOR pathway deregulation.
- Examination of potential therapeutic inhibitors targeting the pathway.
Main Results:
- The PI3K/Akt/mTOR pathway is dysregulated in MTC, contributing to tumorigenesis.
- RET proto-oncogene mutations can lead to PI3K/Akt/mTOR pathway activation.
- Targeting the PI3K/Akt/mTOR pathway shows promise for MTC treatment.
Conclusions:
- The PI3K/Akt/mTOR pathway is a key player in MTC pathogenesis.
- Inhibiting this pathway represents a viable therapeutic avenue for advanced MTC.
- Further research into dual-targeting strategies may enhance treatment efficacy.
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