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Deregulated PTEN/PI3K/AKT/mTOR signaling in prostate cancer: Still a potential druggable target?
Luca Braglia1, Manuela Zavatti2, Marco Vinceti2
1Department of Biomedical, Metabolic, and Neurological Sciences, University of Modena and Reggio Emilia, 41124 Modena, MO, Italy; Department of Biomedical and Neuromotor Sciences, University of Bologna, 40126 Bologna, BO, Italy.
Abstract:
Although the prognosis of patients with localized prostate cancer is good after surgery, with a favorable response to androgen deprivation therapy, about one third of them invariably relapse, and progress to castration-resistant prostate cancer. Overall, prostate cancer therapies remain scarcely effective, thus it is mandatory to devise alternative treatments enhancing the efficacy of surgical castration and hormone administration. Dysregulation of the phosphoinositide 3-kinase pathway has attracted growing attention in prostate cancer due to the highly frequent association of epigenetic and post-translational modifications as well as to genetic alterations of both phosphoinositide 3-kinase and PTEN to onset and/or progression of this malignancy, and to resistance to canonical androgen-deprivation therapy. Here we provide a summary of the biological functions of the major players of this cascade and their deregulation in prostate cancer, summarizing the results of preclinical and clinical studies with PI3K signaling inhibitors and the reasons of failure independent from genomic changes.
Insights
Prostate cancer often relapses after treatment, progressing to castration-resistant disease. Targeting the phosphoinositide 3-kinase (PI3K) pathway offers a potential strategy to improve treatment efficacy.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Prostate cancer prognosis is good after initial treatment, but one-third of patients relapse.
- Relapse often leads to castration-resistant prostate cancer, for which treatments are limited.
- The phosphoinositide 3-kinase (PI3K) pathway is frequently dysregulated in prostate cancer, contributing to progression and treatment resistance.
Purpose of the Study:
- To summarize the biological functions of key PI3K pathway components.
- To review PI3K pathway deregulation in prostate cancer.
- To summarize preclinical and clinical studies of PI3K signaling inhibitors.
Main Methods:
- Literature review of biological functions of PI3K pathway components.
- Analysis of genetic, epigenetic, and post-translational modifications in prostate cancer.
- Summary of preclinical and clinical studies involving PI3K inhibitors.
Main Results:
- PI3K pathway dysregulation is common in prostate cancer onset, progression, and resistance to androgen deprivation therapy.
- Studies on PI3K signaling inhibitors show varied outcomes, with failures sometimes independent of genomic alterations.
- Understanding PI3K pathway mechanisms is crucial for developing effective prostate cancer therapies.
Conclusions:
- Targeting the PI3K pathway is a promising avenue for overcoming resistance in prostate cancer.
- Further research is needed to understand the complex mechanisms of PI3K pathway deregulation and inhibitor response.
- Developing novel therapeutic strategies that enhance current treatments is essential for improving patient outcomes.
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