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PI3K/Akt/mTOR Pathway and Its Role in Cancer Therapeutics: Are We Making Headway?
Yan Peng1, Yuanyuan Wang2, Cheng Zhou3
1Department of Obstetrics, Longhua District Central Hospital, Shenzhen, China.
Abstract:
Cancer is a severe public health issue that is a leading cause of mortality globally. It is also an impediment to improving life expectancy worldwide. Furthermore, the global burden of cancer incidence and death is continuously growing. Current therapeutic options are insufficient for patients, and tumor complexity and heterogeneity necessitate customized medicine or targeted therapy. It is critical to identify potential cancer therapeutic targets. Aberrant activation of the PI3K/AKT/mTOR pathway has a significant role in carcinogenesis. This review summarized oncogenic PI3K/Akt/mTOR pathway alterations in cancer and various cancer hallmarks associated with the PI3K/AKT/mTOR pathway, such as cell proliferation, autophagy, apoptosis, angiogenesis, epithelial-to-mesenchymal transition (EMT), and chemoresistance. Importantly, this review provided recent advances in PI3K/AKT/mTOR inhibitor research. Overall, an in-depth understanding of the association between the PI3K/AKT/mTOR pathway and tumorigenesis and the development of therapies targeting the PI3K/AKT/mTOR pathway will help make clinical decisions.
Insights
The PI3K/AKT/mTOR pathway is crucial in cancer development. Understanding its role and targeting it with new therapies can improve cancer treatment and clinical decisions.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Cancer remains a leading global cause of mortality, with increasing incidence and death rates.
- Tumor complexity and heterogeneity demand personalized or targeted therapeutic strategies.
- The PI3K/AKT/mTOR pathway is frequently altered in cancer, driving tumorigenesis.
Purpose of the Study:
- To review oncogenic alterations in the PI3K/AKT/mTOR pathway in various cancers.
- To summarize the pathway's role in cancer hallmarks like proliferation, autophagy, apoptosis, angiogenesis, EMT, and chemoresistance.
- To present recent advancements in PI3K/AKT/mTOR inhibitor research.
Main Methods:
- Literature review of oncogenic PI3K/AKT/mTOR pathway alterations.
- Analysis of the pathway's involvement in key cancer hallmarks.
- Synthesis of current research on PI3K/AKT/mTOR inhibitors.
Main Results:
- Aberrant PI3K/AKT/mTOR pathway activation is a significant factor in carcinogenesis.
- The pathway influences critical cancer processes including cell proliferation, survival, and metastasis.
- Recent progress has been made in developing targeted therapies inhibiting this pathway.
Conclusions:
- A comprehensive understanding of the PI3K/AKT/mTOR pathway's role in tumorigenesis is vital.
- Targeting the PI3K/AKT/mTOR pathway holds promise for novel cancer therapeutics.
- This knowledge can inform clinical decision-making for improved cancer patient outcomes.
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