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PI3K/Akt/mTOR Signaling Pathway in Blood Malignancies-New Therapeutic Possibilities
Wojciech Wiese1, Julia Barczuk1, Olga Racinska1
1Department of Clinical Chemistry and Biochemistry, Medical University of Lodz, Mazowiecka 5, 92-215 Lodz, Poland.
Abstract:
Blood malignancies remain a therapeutic challenge despite the development of numerous treatment strategies. The phosphatidylinositol-3 kinase (PI3K)/protein kinase B/mammalian target of rapamycin (PI3K/Akt/mTOR) signaling pathway plays a central role in regulating many cellular functions, including cell cycle, proliferation, quiescence, and longevity. Therefore, dysregulation of this pathway is a characteristic feature of carcinogenesis. Increased activation of PI3K/Akt/mTOR signaling enhances proliferation, growth, and resistance to chemo- and immunotherapy in cancer cells. Overactivation of the pathway has been found in various types of cancer, including acute and chronic leukemia. Inhibitors of the PI3K/Akt/mTOR pathway have been used in leukemia treatment since 2014, and some of them have improved treatment outcomes in clinical trials. Recently, new inhibitors of PI3K/Akt/mTOR signaling have been developed and tested both in preclinical and clinical models. In this review, we outline the role of the PI3K/Akt/mTOR signaling pathway in blood malignancies' cells and gather information on the inhibitors of this pathway that might provide a novel therapeutic opportunity against leukemia.
Insights
The phosphatidylinositol-3 kinase (PI3K)/protein kinase B/mammalian target of rapamycin (PI3K/Akt/mTOR) pathway is crucial in blood cancers. Inhibitors targeting this pathway offer new therapeutic avenues for leukemia treatment.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Blood malignancies present significant therapeutic challenges.
- The PI3K/Akt/mTOR pathway is integral to cellular functions and its dysregulation drives carcinogenesis.
- Overactivation of this pathway is observed in various leukemias, promoting cancer cell growth and treatment resistance.
Purpose of the Study:
- To review the role of the PI3K/Akt/mTOR signaling pathway in blood malignancies.
- To compile information on PI3K/Akt/mTOR inhibitors for leukemia treatment.
Main Methods:
- Literature review of the PI3K/Akt/mTOR pathway in blood cancers.
- Analysis of existing and emerging PI3K/Akt/mTOR inhibitors.
- Evaluation of preclinical and clinical data for these inhibitors.
Main Results:
- The PI3K/Akt/mTOR pathway is frequently dysregulated in leukemia, contributing to disease progression.
- Approved PI3K/Akt/mTOR inhibitors have shown efficacy since 2014.
- Newer inhibitors are under investigation, demonstrating potential in preclinical and clinical settings.
Conclusions:
- The PI3K/Akt/mTOR pathway is a key target in blood malignancies.
- Targeted inhibition of this pathway represents a promising therapeutic strategy for leukemia.
- Ongoing research into novel inhibitors may lead to improved treatment outcomes.
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