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The Role of mTOR Signaling as a Therapeutic Target in Cancer
Nadezhda V Popova1, Manfred Jücker2
1Laboratory of Receptor Cell Biology, Shemyakin-Ovchinnikov Institute of Bioorganic Chemistry, Russian Academy of Sciences, Miklukho-Maklaya Str., 16/10, 117997 Moscow, Russia.
Abstract:
The aim of this review was to summarize current available information about the role of phosphatidylinositol-3-kinase (PI3K)/AKT/mammalian target of rapamycin (mTOR) signaling in cancer as a potential target for new therapy options. The mTOR and PI3K/AKT/mTORC1 (mTOR complex 1) signaling are critical for the regulation of many fundamental cell processes including protein synthesis, cell growth, metabolism, survival, catabolism, and autophagy, and deregulated mTOR signaling is implicated in cancer, metabolic dysregulation, and the aging process. In this review, we summarize the information about the structure and function of the mTOR pathway and discuss the mechanisms of its deregulation in human cancers including genetic alterations of PI3K/AKT/mTOR pathway components. We also present recent data regarding the PI3K/AKT/mTOR inhibitors in clinical studies and the treatment of cancer, as well the attendant problems of resistance and adverse effects.
Insights
The phosphatidylinositol-3-kinase (PI3K)/AKT/mammalian target of rapamycin (mTOR) pathway is crucial in cancer. This review explores its role in cancer, therapeutic targeting, and challenges like resistance.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- The PI3K/AKT/mTOR pathway regulates fundamental cellular processes like growth, metabolism, and survival.
- Deregulation of this pathway is implicated in various cancers, metabolic disorders, and aging.
Purpose of the Study:
- To review the role of the PI3K/AKT/mTOR signaling pathway in cancer.
- To summarize current therapeutic strategies targeting this pathway.
- To discuss challenges associated with PI3K/AKT/mTOR inhibition in cancer treatment.
Main Methods:
- Literature review of current scientific information.
- Analysis of the structure, function, and deregulation mechanisms of the mTOR pathway in cancer.
- Examination of clinical data on PI3K/AKT/mTOR inhibitors.
Main Results:
- The PI3K/AKT/mTOR pathway is frequently altered in human cancers.
- Inhibitors targeting this pathway show promise in clinical studies for cancer treatment.
- Resistance mechanisms and adverse effects are significant challenges in therapy.
Conclusions:
- The PI3K/AKT/mTOR pathway is a critical target for novel cancer therapies.
- Further research is needed to overcome resistance and manage side effects of mTOR inhibitors.
- Targeting this pathway holds potential for improved cancer treatment outcomes.
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