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The PI3K/AKT Pathway as a Target for Cancer Treatment
Ingrid A Mayer1, Carlos L Arteaga1
1Departments of Medicine and Cancer Biology; Breast Cancer Program, Vanderbilt-Ingram Cancer Center; Vanderbilt University School of Medicine, Nashville, Tennessee 37232; email: ingrid.mayer@vanderbilt.edu , carlos.arteaga@vanderbilt.edu.
Abstract:
Anticancer targeted therapies are designed to exploit a particular vulnerability in the tumor, which in most cases results from its dependence on an oncogene and/or loss of a tumor suppressor. Genes in the phosphoinositide 3-kinase (PI3K)/AKT pathway are the most frequently altered in human cancers. Aberrant activation of this pathway, as a result of these somatic alterations, is associated with cellular transformation, tumorigenesis, cancer progression, and drug resistance. Several drugs targeting PI3K/ATK are currently in clinical trials, alone or in combination, in both solid tumors and hematologic malignancies. These drugs are the focus of this review.
Insights
Targeted cancer therapies focus on tumor vulnerabilities, often involving the frequently altered phosphoinositide 3-kinase (PI3K)/AKT pathway. Drugs targeting this pathway are in clinical trials for various cancers.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Anticancer targeted therapies exploit tumor-specific vulnerabilities, frequently linked to oncogenes or tumor suppressor loss.
- The phosphoinositide 3-kinase (PI3K)/AKT pathway is significantly altered in human cancers.
- Aberrant PI3K/AKT pathway activation drives cancer development, progression, and resistance to therapy.
Purpose of the Study:
- To review current anticancer targeted therapies.
- To focus on drugs targeting the PI3K/AKT pathway.
- To discuss the role of PI3K/AKT pathway alterations in cancer.
Main Methods:
- Literature review of targeted therapies.
- Analysis of PI3K/AKT pathway alterations in cancer.
- Summary of drugs targeting PI3K/AKT in clinical trials.
Main Results:
- The PI3K/AKT pathway is a common target in cancer due to frequent alterations.
- Several drugs targeting PI3K/AKT are under investigation.
- These targeted therapies are being evaluated in solid tumors and hematologic malignancies.
Conclusions:
- Targeted therapies focusing on the PI3K/AKT pathway hold promise for cancer treatment.
- Drugs inhibiting the PI3K/AKT pathway are a key area of ongoing clinical research.
- Understanding PI3K/AKT pathway alterations is crucial for developing effective cancer drugs.
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