Target intelligence / Profile preview

Phosphatidylinositol 3-kinase-AKT signaling pathway (PI3K/AKT pathway)

Target
PI3K/AKT pathway
Molecular classification
Signal transduction pathway, Serine/threonine kinase pathway, Lipid kinase signaling cascade
01

Overview

The Phosphatidylinositol 3-kinase-AKT signaling pathway is a critical signal transduction cascade that regulates fundamental cellular processes including proliferation, survival, growth, metabolism, and migration. It is one of the most frequently dysregulated pathways in human cancer, with alterations occurring through mutations in PIK3CA, loss of the tumor suppressor PTEN, or activating mutations in AKT itself. The pathway represents a major therapeutic target for cancer treatment, with numerous inhibitors targeting PI3K, AKT, and downstream mTOR in various stages of clinical development. The pathway's involvement in drug resistance and its regulation of apoptosis make it particularly relevant for combination therapy approaches in oncology.

Other names
PI3K-Akt pathwayPI3K/Akt signaling pathwayPI3K/PKB pathwayAkt signaling pathwayPI3K pathway
02

Mechanism of action

Direct PI3K inhibition (pan-PI3K inhibitors or isoform-specific inhibitors); AKT inhibition (blocking phosphorylation or kinase activity); Dual PI3K/mTOR inhibition (targeting structural similarities); mTORC1 and mTORC2 inhibition (second-generation mTOR blockers); Combination therapy with chemotherapy to overcome resistance.

03

Biological functions

Signal transductionCell proliferationCell survival and apoptosis regulationCell growthCell cycle regulationMetabolism regulationCell migration and invasionNeuronal function regulation
04

Disease associations

Cancer (multiple types including breast, colon, brain, liver, stomach, lung, ovarian, gynecological tumors)DiabetesCardiovascular diseaseNeurodegenerative disease
05

Safety considerations

First-generation inhibitors showed toxic side effects and poor pharmacological propertiesDevelopment of drug resistance through various mechanisms including feedback loop activationOverall efficiency of mTOR blockers varies from 4-24% in clinical trialsLimited clinical efficacy due to multiple mechanisms of oncogenic pathway activationResistance development during treatment requiring combination therapy approachesIsoform-specific effects requiring careful patient selection
06

Interacting drugs

First-generation PI3K/AKT inhibitors

19 more in the full profile.

07

Biomarkers

PIK3CA mutationsPTEN loss or mutationsAKT mutations (including E17K)Phosphorylated AKT (p-AKT) levelsmTOR pathway activation statusExpression levels of pathway components (KIT, ERBB2, PDGFRA, MET, FGFR2, FGFR3)

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