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PI3K and AKT: Unfaithful Partners in Cancer
Seraina Faes1, Olivier Dormond2
1Department of Visceral Surgery, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Pavillon 4, Av. de Beaumont, Lausanne 1011, Switzerland. seraina.faes@chuv.ch.
Abstract:
The phosphatidylinositol 3-kinase (PI3K)/AKT signaling pathway regulates multiple cellular processes. An overactivation of the pathway is frequently present in human malignancies and plays a key role in cancer progression. Hence, its inhibition has become a promising approach in cancer therapy. However, the development of resistances, such as the abrogation of negative feedback mechanisms or the activation of other proliferative signaling pathways, has considerably limited the anticancer efficacy of PI3K/AKT inhibitors. In addition, emerging evidence points out that although AKT is acknowledged as the major downstream effector of PI3K, both PI3K and AKT can operate independently of each other in cancer, revealing another level of complexity in this pathway. Here, we highlight the complex relationship between PI3K and AKT in cancer and further discuss the consequences of this relationship for cancer therapy.
Insights
The phosphatidylinositol 3-kinase (PI3K)/AKT pathway is crucial in cancer, but resistance limits PI3K/AKT inhibitors. Understanding PI3K and AKT
Area of Science:
- Oncology
- Molecular Biology
- Cell Signaling
Background:
- The phosphatidylinositol 3-kinase (PI3K)/AKT signaling pathway is integral to cellular functions.
- Overactivation of this pathway is common in human cancers, driving tumor progression.
- PI3K/AKT pathway inhibition is a key strategy in cancer therapy.
Purpose of the Study:
- To elucidate the complex interplay between PI3K and AKT in cancer.
- To discuss the therapeutic implications of this complex relationship.
Main Methods:
- Review of current literature on PI3K/AKT signaling in cancer.
- Analysis of resistance mechanisms to PI3K/AKT inhibitors.
- Exploration of independent roles of PI3K and AKT in oncogenesis.
Main Results:
- Resistance to PI3K/AKT inhibitors arises from feedback loop abrogation and alternative pathway activation.
- Emerging evidence shows PI3K and AKT can function independently in cancer.
- This independence adds complexity to targeting the PI3K/AKT pathway.
Conclusions:
- The intricate relationship between PI3K and AKT presents challenges for effective cancer therapy.
- Targeting strategies must account for the independent and cooperative roles of PI3K and AKT.
- Further research is needed to overcome resistance and optimize PI3K/AKT-targeted treatments.
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