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The Communication Between the PI3K/AKT/mTOR Pathway and Y-box Binding Protein-1 in Gynecological Cancer
Monika Sobočan1,2,3, Suzana Bračič4,5, Jure Knez2,3
1Department of Pharmacology, Faculty of Medicine, University of Maribor, 2000 Maribor, Slovenia.
Abstract:
Studies of the mechanistic (mammalian) target of rapamycin inhibitors (mTOR) represent a step towards the targeted treatment of gynecological cancers. It has been shown that women with increased levels of mTOR signaling pathway targets have worse prognosis compared to women with normal mTOR levels. Yet, targeting mTOR alone has led to unsatisfactory outcomes in gynecological cancer. The aim of our review was therefore to provide an overview of the most recent clinical results and basic findings on the interplay of mTOR signaling and cold shock proteins in gynecological malignancies. Due to their oncogenic activity, there are promising data showing that mTOR and Y-box-protein 1 (YB-1) dual targeting improves the inhibition of carcinogenic activity. Although several components differentially expressed in patients with ovarian, endometrial, and cervical cancer of the mTOR were identified, there are only a few investigated downstream actors in gynecological cancer connecting them with YB-1. Our analysis shows that YB-1 is an important player impacting AKT as well as the downstream actors interacting with mTOR such as epidermal growth factor receptor (EGFR), Snail or E-cadherin.
Insights
Targeting the mechanistic target of rapamycin (mTOR) pathway and Y-box-protein 1 (YB-1) shows promise for treating gynecological cancers. Dual targeting may improve outcomes where mTOR inhibition alone has failed.
Area of Science:
- Oncology
- Molecular Biology
- Gynecologic Oncology
Background:
- Mechanistic (mammalian) target of rapamycin (mTOR) signaling is implicated in gynecological cancers.
- Elevated mTOR pathway activity correlates with poorer prognosis in these cancers.
- Current mTOR-targeted therapies show limited efficacy in gynecological malignancies.
Purpose of the Study:
- To review recent clinical and basic science findings on the interplay between mTOR signaling and cold shock proteins in gynecological cancers.
- To explore the potential of dual targeting of mTOR and Y-box-protein 1 (YB-1) for improved anti-cancer activity.
Main Methods:
- Literature review of clinical results and basic research.
- Analysis of molecular pathways and protein interactions.
Main Results:
- Dual targeting of mTOR and Y-box-protein 1 (YB-1) demonstrates potential for inhibiting carcinogenic activity.
- Y-box-protein 1 (YB-1) impacts AKT and downstream mTOR interactors like EGFR, Snail, and E-cadherin.
- Several mTOR pathway components are differentially expressed in ovarian, endometrial, and cervical cancers.
Conclusions:
- Y-box-protein 1 (YB-1) is a key player in the mTOR pathway within gynecological cancers.
- Combined targeting of mTOR and YB-1 offers a promising strategy for gynecological cancer treatment.
- Further investigation into downstream actors connecting mTOR and YB-1 is warranted.
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