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The Akt pathway in oncology therapy and beyond (Review)
George Mihai Nitulescu1, Maryna Van De Venter2, Georgiana Nitulescu1
1Faculty of Pharmacy, 'Carol Davila' University of Medicine and Pharmacy, 020956 Bucharest, Romania.
Abstract:
Protein kinase B (Akt), similar to many other protein kinases, is at the crossroads of cell death and survival, playing a pivotal role in multiple interconnected cell signaling mechanisms implicated in cell metabolism, growth and division, apoptosis suppression and angiogenesis. Akt protein kinase displays important metabolic effects, among which are glucose uptake in muscle and fat cells or the suppression of neuronal cell death. Disruptions in the Akt‑regulated pathways are associated with cancer, diabetes, cardiovascular and neurological diseases. The regulation of the Akt signaling pathway renders Akt a valuable therapeutic target. The discovery process of Akt inhibitors using various strategies has led to the identification of inhibitors with great selectivity, low side‑effects and toxicity. The usefulness of Akt emerges beyond cancer therapy and extends to other major diseases, such as diabetes, heart diseases, or neurodegeneration. This review presents key features of Akt structure and functions, and presents the progress of Akt inhibitors in regards to drug development, and their preclinical and clinical activity in regards to therapeutic efficacy and safety for patients.
Insights
Protein kinase B (Akt) is crucial for cell survival and metabolism, impacting diseases like cancer and diabetes. Akt inhibitors show promise as targeted therapies with improved safety profiles for various conditions.
Area of Science:
- Molecular Biology
- Cell Signaling
- Pharmacology
Background:
- Protein kinase B (Akt) is a key regulator of cell survival, metabolism, apoptosis, and angiogenesis.
- Dysregulation of Akt pathways is linked to major diseases including cancer, diabetes, cardiovascular, and neurological disorders.
- Akt's central role makes its signaling pathway a significant therapeutic target.
Purpose of the Study:
- To review the structure and functions of Akt.
- To present the development and progress of Akt inhibitors.
- To discuss the preclinical and clinical efficacy and safety of Akt inhibitors.
Main Methods:
- Literature review of Akt structure, function, and signaling pathways.
- Analysis of various strategies for Akt inhibitor discovery.
- Evaluation of preclinical and clinical data on Akt inhibitor therapeutic activity and safety.
Main Results:
- Akt inhibitors have been developed with high selectivity and low toxicity.
- Akt inhibitors demonstrate therapeutic potential beyond cancer, including in diabetes, heart disease, and neurodegeneration.
- Ongoing research focuses on optimizing Akt inhibitor efficacy and safety for diverse patient populations.
Conclusions:
- Akt inhibitors represent a promising therapeutic strategy for a range of diseases.
- Further development and clinical evaluation are essential to fully realize the potential of Akt-targeted therapies.
- Akt inhibitors offer a valuable approach to managing complex diseases by modulating key survival and metabolic pathways.
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