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Updated: Apr 25, 2026

Evaluating the Effectiveness of Cancer Drug Sensitization In Vitro and In Vivo
Published on: February 6, 2015
[Effect of PI3K/AKT pathway on cisplatin resistance in non-small cell lung cancer]
Yu Zhang1, Hongling Lu2, Gang Xu1
1Departmen of Cardiothoracic Surgery, Affiliated Hospital of Zunyi Medical College, Zunyi 563099, China.
Abstract:
Accumulating evidences indicate that aberrant activation of PI3K/AKT pathway in non-small cell lung cancer plays a vital role in tumor cell proliferation,apoptosis, and survival including drug resistance. Cisplatin as first-line chemotherapy are in widespread clinical use in patients with non-small cell lung cancer, however, the development of cisplatin resistance significantly impedes its clinic efficacy. Cisplatin resistance is a complicated process that various mechanisms participating in to interact, of which PI3K/AKT pathway keeping sustained activated is one of the most important reasons. This article reviewed the progress of research on the relationship between PI3K/AKT pathway and cisplatin resistance.
Insights
Aberrant activation of the phosphatidylinositol 3-kinase/AKT (PI3K/AKT) pathway drives non-small cell lung cancer progression and resistance to cisplatin chemotherapy. Understanding this link is crucial for improving treatment efficacy.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Context:
- Non-small cell lung cancer (NSCLC) is a leading cause of cancer-related mortality.
- Cisplatin is a cornerstone first-line chemotherapy for NSCLC.
- Acquired resistance to cisplatin significantly limits treatment success.
Purpose:
- To review the current understanding of the phosphatidylinositol 3-kinase/AKT (PI3K/AKT) pathway.
- To elucidate the role of PI3K/AKT pathway activation in the development of cisplatin resistance in NSCLC.
- To highlight the implications for future therapeutic strategies.
Summary:
- The PI3K/AKT pathway is frequently hyperactivated in NSCLC, promoting tumor cell proliferation, survival, and inhibiting apoptosis.
- Sustained activation of the PI3K/AKT pathway is a key mechanism contributing to cisplatin resistance in NSCLC.
- This review consolidates evidence linking PI3K/AKT signaling to chemotherapy resistance, providing a foundation for further research.
Impact:
- Identifying PI3K/AKT as a critical mediator of cisplatin resistance offers potential therapeutic targets.
- Strategies aimed at inhibiting the PI3K/AKT pathway may overcome or prevent resistance.
- This research can guide the development of novel treatment combinations for NSCLC patients.
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