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Assessment of Resistance to Tyrosine Kinase Inhibitors by an Interrogation of Signal Transduction Pathways by Antibody Arrays
Published on: September 19, 2018
The phosphoinositide 3-kinase pathway and therapy resistance in cancer
1Department of Pathology and Cancer Center, Beth Israel Deaconess Medical Center, Harvard Medical School 330 Brookline Avenue, EC/CLS 633A, Boston, MA 02215 USA.
Abstract:
The phosphoinositide 3-kinase (PI3K)/Akt/mechanistic target of rapamycin (mTOR) signaling network is a master regulator of processes that contribute to tumorigenesis and tumor maintenance. The PI3K pathway also plays a critical role in driving resistance to diverse anti-cancer therapies. This review article focuses on mechanisms by which the PI3K pathway contributes to therapy resistance in cancer, and highlights potential combination therapy strategies to circumvent resistance driven by PI3K signaling. In addition, resistance mechanisms that limit the clinical efficacy of small molecule inhibitors of the PI3K pathway are discussed.
Insights
The phosphoinositide 3-kinase (PI3K)/Akt/mTOR pathway drives cancer growth and therapy resistance. This review explores PI3K-driven resistance mechanisms and combination strategies to overcome them, enhancing anti-cancer treatment efficacy.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- The phosphoinositide 3-kinase (PI3K)/Akt/mechanistic target of rapamycin (mTOR) pathway is crucial for cancer development and progression.
- This signaling network is implicated in resistance to various anti-cancer treatments.
- Understanding PI3K pathway's role in therapy resistance is vital for improving cancer treatment outcomes.
Purpose of the Study:
- To review the mechanisms by which the PI3K pathway contributes to cancer therapy resistance.
- To highlight potential combination therapy strategies that can overcome PI3K-driven resistance.
- To discuss resistance mechanisms limiting the effectiveness of PI3K pathway inhibitors.
Main Methods:
- Literature review of PI3K/Akt/mTOR signaling in cancer therapy resistance.
- Analysis of preclinical and clinical studies on PI3K pathway inhibitors.
- Synthesis of information on combination therapies targeting the PI3K pathway.
Main Results:
- The PI3K pathway promotes resistance through various mechanisms, including altered signaling and activation of bypass pathways.
- Combination strategies involving PI3K inhibitors with other anti-cancer agents show promise in preclinical models.
- Intrinsic and acquired resistance mechanisms limit the efficacy of current PI3K inhibitors.
Conclusions:
- The PI3K pathway is a significant driver of resistance to cancer therapies.
- Targeting the PI3K pathway in combination with other treatments may overcome resistance and improve patient outcomes.
- Further research is needed to fully elucidate resistance mechanisms and optimize combination therapy strategies.
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