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Natural Products Targeting the PI3K/Akt/mTOR-Mediated Autophagy Pathway in Cancer Therapy: Recent Advances and
Jingwen Hu1,2, Yulin Guo2, Liang Ren3,4
1The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, P.R. China.
Abstract:
Dysregulation of the phosphoinositide 3-kinase/protein kinase B/mammalian target of the rapamycin (PI3K/Akt/mTOR) pathway and its complex interplay with autophagy is a crucial mechanism driving proliferation, survival, and therapeutic resistance in cancer. Natural products offer a vast chemical library for exploiting this axis of chemistry to treat diseases. This review synthesizes and evaluates recent advances (2015-2025) in natural products that target PI3K/Akt/mTOR-mediated autophagy. We elucidate the mechanisms by which diverse natural product classes, such as alkaloids, flavonoids, terpenoids, and polyphenols, modulate this pathway, effectively affecting autophagic flux to suppress proliferation and enhance apoptosis across various tumor models. We analyze the burgeoning evidence for natural products in combination with chemotherapy, targeted agents, and immunotherapy, highlighting their ability to enhance efficacy, reduce toxicity, and reverse drug resistance. Despite promising preclinical data, significant translational hurdles, primarily poor pharmacokinetic properties, persist. By integrating mechanistic insights, synergistic strategies, emerging clinical data, and translational challenges, this review provides a comprehensive framework for advancing PI3K/Akt/mTOR-autophagy-modulating natural products from in vitro cytotoxic leads and in vivo antitumor candidates toward clinical translation..
Insights
Natural products can target the PI3K/Akt/mTOR pathway and autophagy to fight cancer. This review explores how these natural compounds suppress tumor growth and enhance treatment efficacy, despite facing pharmacokinetic challenges.
Area of Science:
- Biochemistry
- Pharmacology
- Oncology
Background:
- The PI3K/Akt/mTOR pathway and autophagy are key regulators of cancer cell proliferation, survival, and drug resistance.
- Dysregulation of this pathway is a significant driver of cancer progression and therapeutic failure.
Purpose of the Study:
- To review recent advances (2015-2025) in natural products targeting the PI3K/Akt/mTOR-mediated autophagy pathway in cancer.
- To elucidate the mechanisms of action of various natural product classes on this pathway and their effects on cancer models.
- To analyze the potential of natural products in combination therapies for cancer treatment.
Main Methods:
- Literature review of studies published between 2015 and 2025.
- Synthesis and evaluation of research on natural products (alkaloids, flavonoids, terpenoids, polyphenols) modulating the PI3K/Akt/mTOR pathway and autophagy.
- Analysis of preclinical data on combination therapies involving natural products, chemotherapy, targeted agents, and immunotherapy.
Main Results:
- Diverse natural product classes effectively modulate the PI3K/Akt/mTOR pathway and autophagic flux, suppressing proliferation and promoting apoptosis in various cancer models.
- Natural products show promise in combination therapies, enhancing efficacy, reducing toxicity, and overcoming drug resistance.
- Significant translational challenges, particularly poor pharmacokinetics, hinder the clinical application of these compounds.
Conclusions:
- Natural products represent a promising therapeutic strategy for targeting the PI3K/Akt/mTOR-autophagy axis in cancer.
- Further research is needed to overcome pharmacokinetic limitations and advance these compounds towards clinical translation.
- Integrating mechanistic insights, combination strategies, and clinical data is crucial for developing effective natural product-based cancer therapies.
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