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Published on: September 30, 2016
PIK3CA gene aberrancy and role in targeted therapy of solid malignancies
Owen Willis1, Khalil Choucair2, Abdurahman Alloghbi1
1Department of Internal Medicine, University of Toledo College of Medicine and Life Sciences, Toledo, OH, 43614, USA.
Abstract:
Phosphoinositide kinases (PIKs) are a group of lipid kinases that are important upstream activators of various signaling pathways that drive oncogenesis. Hyperactivation of the PI3K/AKT/mTOR pathways-either via mutations or genomic amplification-confers key oncogenic activity, essential for the development and progression of several solid tumors. Alterations in the PIK3CA gene are associated with poor prognosis of solid malignancies. Contradictory reports exist in the literature regarding the prognostic value of PIK3CA in aggressive cancers, but most available data highlights an important role of PIK3CA mutation in mediating tumorigenesis via increased signaling of the PI3K/AKT/mTOR survival pathway. Several inhibitors of PI3K/AKT/mTOR pathways have been investigated as potential therapeutic options in solid malignancies. This article reviews the role of PIK3CA mutations and inhibitors of the PI3K/AKT/mTOR pathway in cancer and examines association with the clinico-pathological parameters and prognosis.
Insights
Phosphoinositide kinases (PIKs) drive cancer by activating PI3K/AKT/mTOR pathways. PIK3CA gene mutations are linked to solid tumor development and prognosis, with inhibitors showing therapeutic promise.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Genetics
Background:
- Phosphoinositide kinases (PIKs) are crucial lipid kinases regulating oncogenic signaling pathways.
- Hyperactivation of the PI3K/AKT/mTOR pathway, through mutations or amplification, is vital for solid tumor development and progression.
- Alterations in the PIK3CA gene are frequently observed in solid malignancies.
Purpose of the Study:
- To review the role of PIK3CA mutations in cancer.
- To examine the impact of PIK3K/AKT/mTOR pathway inhibitors in solid tumors.
- To analyze the association between PIK3CA alterations, clinico-pathological parameters, and patient prognosis.
Main Methods:
- Literature review of studies on PIK3CA mutations and PI3K/AKT/mTOR pathway inhibitors.
- Analysis of existing data on the prognostic value of PIK3CA in various cancers.
- Examination of the link between genetic alterations and clinical outcomes.
Main Results:
- PIK3CA mutations play a significant role in tumorigenesis by enhancing PI3K/AKT/mTOR pathway signaling.
- Despite some conflicting reports, PIK3CA alterations are generally associated with poor prognosis in solid cancers.
- PI3K/AKT/mTOR pathway inhibitors are under investigation as therapeutic strategies for solid malignancies.
Conclusions:
- PIK3CA mutations are key drivers in oncogenesis, impacting cancer progression and patient outcomes.
- Targeting the PI3K/AKT/mTOR pathway with inhibitors represents a promising therapeutic avenue for solid tumors.
- Further research is warranted to clarify the prognostic implications of PIK3CA alterations and optimize inhibitor-based therapies.
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