The phosphoinositide 3-kinase pathway and therapy resistance in cancer

Kristin K Brown1, Alex Toker1

  • 1Department of Pathology and Cancer Center, Beth Israel Deaconess Medical Center, Harvard Medical School 330 Brookline Avenue, EC/CLS 633A, Boston, MA 02215 USA.

F1000Prime Reports
|March 10, 2015
PubMed

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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