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The Inositide Signaling Pathway As a Target for Treating Gastric Cancer and Colorectal Cancer
Hong Jun Kim1, Suk-Young Lee1, Sang Cheul Oh1
1Division of Oncology/Hematology, Department of Internal Medicine, College of Medicine, Korea University Seoul, South Korea.
Abstract:
Gastric cancer and colorectal cancer are the leading cause of cancer mortality and have a dismal prognosis. The introduction of biological agents to treat these cancers has resulted in improved outcomes, and combination chemotherapy with targeted agents and conventional chemotherapeutic agents is regarded as standard therapy. Additional newly clarified mechanisms of oncogenesis and resistance to targeted agents require the development of new biologic agents. Aberrant activation of the inositide signaling pathway by a loss of function PTEN mutation or gain of function mutation/amplification of PIK3CA is an oncogenic mechanism in gastric cancer and colorectal cancer. Clinical trials with biologic agents that target the inositide signaling pathway are being performed to further improve treatment outcomes of patients with advanced gastric cancer and metastatic colorectal cancer (CRC). In this review we summarize the inositide signaling pathway, the targeted agents that inhibit abnormal activation of this signaling pathway and the clinical trials currently being performed in patients with advanced or metastatic gastric cancer and metastatic CRC using these targeted agents.
Insights
New biologic agents targeting the inositide pathway show promise for advanced gastric and colorectal cancers. Research is ongoing to improve outcomes for patients with these difficult-to-treat malignancies.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Gastric and colorectal cancers are leading causes of cancer mortality with poor prognoses.
- Combination chemotherapy with targeted and conventional agents is standard, but new treatments are needed.
- Aberrant inositide signaling, driven by PTEN or PIK3CA mutations, is key in these cancers.
Purpose of the Study:
- To review the inositide signaling pathway in gastric and colorectal cancers.
- To discuss targeted agents inhibiting this pathway.
- To summarize ongoing clinical trials for advanced/metastatic disease.
Main Methods:
- Literature review of inositide signaling.
- Analysis of targeted agents and their mechanisms.
- Summary of clinical trial data for relevant agents.
Main Results:
- The inositide pathway is a critical oncogenic driver in gastric and colorectal cancers.
- Targeted agents inhibiting PI3K/AKT/mTOR are under investigation.
- Clinical trials are evaluating these agents in advanced and metastatic settings.
Conclusions:
- Targeting the inositide signaling pathway represents a promising therapeutic strategy.
- Further research and clinical trials are essential to improve patient outcomes.
- Combination therapies may enhance efficacy in advanced gastric and colorectal cancers.
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