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PI3K/AKT/PTEN pathway as a target for Crohn's disease therapy (Review)
Nana Tokuhira1, Yasuko Kitagishi1, Miho Suzuki1
1Department of Food Science and Nutrition, Nara Women's University, Nara 630‑8506, Japan.
Abstract:
The pathogenesis of inflammatory bowel disease (IBD), including Crohn's disease, is a subject of increasing interest. Loss-of-function mutations in nucleotide-binding oligomerization domain-containing protein 2 (NOD2) are strong genetic factors linked to Crohn's disease, which eventually leads to an excessive mucosal inflammatory response directed against components of normal gut microbiota. Reactive oxygen species (ROS) play an important role in inflammation processes, as well as in transduction of signals from receptors for several cytokines, such as tumor necrosis factor α (TNFα). ROS activate nuclear factor-κB (NF-κB) via IκB kinase (IKK) through the PI3K/AKT/PTEN pathway. Therefore, this pathway is recognized to play a key role in Crohn's disease. Loss of function has been demonstrated to occur as an early event in a wide variety of diseases. Given this prevalent involvement in a number of diseases, the molecular development that modulates this pathway has been the subject of several studies. In addition, it has been the focus of extensive research and drug discovery activities. A better understanding of the molecular assemblies may reveal novel targets for the therapeutic development against Crohn's disease.
Insights
Loss-of-function mutations in NOD2 are linked to Crohn's disease, causing excessive gut inflammation. Understanding the PI3K/AKT/PTEN pathway
Area of Science:
- Gastroenterology
- Immunology
- Molecular Biology
Background:
- Inflammatory Bowel Disease (IBD), including Crohn's disease, pathogenesis is under intense investigation.
- Nucleotide-binding oligomerization domain-containing protein 2 (NOD2) loss-of-function mutations are significant genetic risk factors for Crohn's disease.
- This genetic predisposition results in exaggerated mucosal inflammation against gut microbiota.
Purpose of the Study:
- To explore the role of reactive oxygen species (ROS) and the PI3K/AKT/PTEN pathway in Crohn's disease pathogenesis.
- To identify potential molecular targets for novel therapeutic strategies against Crohn's disease.
Main Methods:
- Review of existing literature on NOD2 mutations, ROS signaling, and the PI3K/AKT/PTEN pathway in IBD.
- Analysis of the molecular mechanisms linking ROS, NF-κB activation, and inflammatory responses in Crohn's disease.
Main Results:
- Reactive oxygen species (ROS) are implicated in inflammatory processes and cytokine signaling, including TNFα.
- The PI3K/AKT/PTEN pathway, modulated by ROS via IKK, is crucial for NF-κB activation and plays a key role in Crohn's disease.
- Loss of function in this pathway is an early event in various diseases, highlighting its significance.
Conclusions:
- The PI3K/AKT/PTEN pathway is a critical component in the pathogenesis of Crohn's disease.
- Understanding the molecular assemblies within this pathway offers potential for developing new therapeutic interventions for Crohn's disease.
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