Targeting PI3K/AKT/mTOR Signaling Pathway in Pancreatic Cancer: From Molecular to Clinical Aspects

Although pancreatic cancer (PC) was considered in the past an orphan cancer type due to its low incidence, it may become in the future one of the leading causes of cancer death. Pancreatic ductal adenocarcinoma (PDAC) is the most frequent type of PC, being a highly aggressive malignancy and having a...

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Veröffentlicht in:International journal of molecular sciences 2022-09, Vol.23 (17), p.10132
Hauptverfasser: Stanciu, Silviu, Ionita-Radu, Florentina, Stefani, Constantin, Miricescu, Daniela, Stanescu-Spinu, Iulia-Ioana, Greabu, Maria, Ripszky Totan, Alexandra, Jinga, Mariana
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container_title International journal of molecular sciences
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creator Stanciu, Silviu
Ionita-Radu, Florentina
Stefani, Constantin
Miricescu, Daniela
Stanescu-Spinu, Iulia-Ioana
Greabu, Maria
Ripszky Totan, Alexandra
Jinga, Mariana
description Although pancreatic cancer (PC) was considered in the past an orphan cancer type due to its low incidence, it may become in the future one of the leading causes of cancer death. Pancreatic ductal adenocarcinoma (PDAC) is the most frequent type of PC, being a highly aggressive malignancy and having a 5-year survival rate of less than 10%. Non-modifiable (family history, age, genetic susceptibility) and modifiable (smoking, alcohol, acute and chronic pancreatitis, diabetes mellitus, intestinal microbiota) risk factors are involved in PC pathogenesis. Chronic inflammation induced by various factors plays crucial roles in PC development from initiation to metastasis. In multiple malignant conditions such as PC, cytokines, chemokines, and growth factors activate the class I phosphoinositide 3-kinase (PI3K)/protein kinase B (AKT)/mammalian target of rapamycin (mTOR) (PI3K/AKT/mTOR) signaling pathway, which plays key roles in cell growth, survival, proliferation, metabolism, and motility. Currently, mTOR, AKT, and PI3K inhibitors are used in clinical studies. Moreover, PI3K/mTOR dual inhibitors are being tested in vitro and in vivo with promising results for PC patients. The main aim of this review is to present PC incidence, risk factors, tumor microenvironment development, and PI3K/AKT/mTOR dysregulation and inhibitors used in clinical, in vivo, and in vitro studies.
doi_str_mv 10.3390/ijms231710132
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subjects 1-Phosphatidylinositol 3-kinase
Adenocarcinoma
Age
AKT protein
Alcohol
Cell Proliferation
Chemokines
Clinical aspects
Cytokines
Diabetes
Diabetes mellitus
Diet
Family medical history
Genetic disorders
Growth factors
Humans
In vivo methods and tests
Intestinal microflora
Malignancy
Medical prognosis
Metastases
Microbiota
Mortality
Mutation
Neuroendocrine tumors
Pancreatic cancer
Pancreatic Neoplasms
Pancreatic Neoplasms - metabolism
Pancreatitis
Phosphatidylinositol 3-Kinase - metabolism
Phosphatidylinositol 3-Kinases - metabolism
Proto-Oncogene Proteins c-akt - metabolism
Rapamycin
Review
Risk analysis
Risk factors
Signal transduction
Signal Transduction - physiology
Smoking
Survival
TOR protein
TOR Serine-Threonine Kinases - metabolism
Tumor Microenvironment
Tumors
Vitamin deficiency
title Targeting PI3K/AKT/mTOR Signaling Pathway in Pancreatic Cancer: From Molecular to Clinical Aspects
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