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Published on: August 23, 2024
The PI3K/Akt/PTEN/mTOR pathway: a fruitful target for inducing cell death in rheumatoid arthritis?
1Department of Medicine, Division of Rheumatic Diseases, University Hospitals, Case Medical Center, Foley Medical Building, Room 207, 2061 Cornell Road, Cleveland, OH 44106, USA.
Abstract:
PI3K/Akt/mTOR signaling regulates diverse cellular processes. Abnormal PI3K/Akt/mTOR signaling is a characteristic feature of cancer. As such inhibition of PI3K/Akt/mTOR signaling using small molecule inhibitors has been a focus of recently developed anticancer drugs. Rheumatoid arthritis and psoriatic arthritis are autoimmune-mediated inflammatory diseases. PI3K signaling could now be targeted to determine its contribution to rheumatoid and psoriatic arthritis where deregulated proliferation and aberrant survival of activated immune cells, macrophages, monocytes, dendritic cells and synovial fibroblasts significantly overlap with abnormal growth of cancer cells. The results of some recent studies in psoriatic arthritis using PI3K signaling inhibitors suggests that small molecule inhibitor strategies directed at PI3K signaling may be a useful future therapy for immune-mediated arthritis.
Insights
Targeting phosphoinositide 3-kinase (PI3K) signaling may treat autoimmune diseases like rheumatoid and psoriatic arthritis. This pathway
Area of Science:
- Oncology
- Immunology
- Pharmacology
Background:
- The phosphoinositide 3-kinase/Akt/mammalian target of rapamycin (PI3K/Akt/mTOR) pathway regulates critical cellular functions.
- Aberrant PI3K/Akt/mTOR signaling is a hallmark of various cancers, making it a target for anticancer drug development.
- Rheumatoid arthritis (RA) and psoriatic arthritis (PsA) are autoimmune diseases characterized by immune cell proliferation and survival.
Purpose of the Study:
- To explore the role of PI3K signaling in immune-mediated inflammatory diseases like RA and PsA.
- To investigate the potential of targeting PI3K signaling as a therapeutic strategy for autoimmune arthritis.
Main Methods:
- Review of existing literature on PI3K/Akt/mTOR signaling in cancer and autoimmune diseases.
- Analysis of the overlap in cellular processes between cancer and immune-mediated arthritis.
- Consideration of small molecule inhibitor strategies.
Main Results:
- PI3K signaling dysregulation in cancer shares similarities with immune cell and fibroblast abnormalities in RA and PsA.
- Emerging evidence suggests PI3K inhibition may be effective in psoriatic arthritis.
Conclusions:
- Targeting PI3K signaling presents a promising therapeutic avenue for immune-mediated arthritis.
- Further research into PI3K inhibitors could lead to novel treatments for RA and PsA.
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