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.

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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