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Phosphatidylinositol 3-kinase and mammalian target of rapamycin (PI3K and mTOR) (PI3K and mTOR)

Target
PI3K and mTOR
Molecular classification
Enzyme (both), Protein kinase (both), Lipid kinase (PI3K), Serine/threonine kinase (mTOR), Signal transduction molecule, Class I PI3K (when specifically referring to the main signaling PI3K isoforms), mTOR complex 1 (mTORC1) and mTOR complex 2 (mTORC2) are functional subtypes for mTOR
01

Overview

Phosphatidylinositol 3-kinase (PI3K) and mammalian target of rapamycin (mTOR) are key protein kinases in intracellular signal transduction, regulating critical cellular processes including growth, survival, proliferation, metabolism, autophagy, and cell cycle progression[4][5][6][7][9]. PI3Ks, a family of lipid kinases, phosphorylate phosphatidylinositol lipids to generate secondary messengers that activate downstream kinases such as AKT. mTOR is a serine/threonine kinase that forms two complexes (mTORC1 and mTORC2) and acts downstream of PI3K signaling to regulate protein synthesis and cell metabolism[3]. Dysregulation of this pathway is a hallmark of many cancers and has therapeutic implications, making both PI3K and mTOR primary targets for drug development in oncology and other diseases[2][4][5][7][8][9]. Because they are part of a tightly integrated pathway but exist as distinct molecular entities, structured information should generally treat PI3K and mTOR as separate therapeutic targets rather than a single entry.

Other names
PI3K (for Phosphatidylinositol 3-kinase)mTOR (for Mammalian target of rapamycin)FRAP1 (alternative name for mTOR)PI3 kinaseMechanistic target of rapamycinRapamycin-sensitive kinase
02

Mechanism of action

PI3K inhibitors: block phosphorylation of inositol lipids, downstream signaling attenuation mTOR inhibitors: inhibit mTOR kinase activity, block mTORC1/C2 signaling, reduce protein synthesis and cell growth Dual inhibitors: inhibit both PI3K and mTOR activities to achieve broader pathway blockade

03

Biological functions

Signal transductionCell growthCell proliferationCell survivalApoptosis (regulation)MetabolismAngiogenesisAutophagyCell cycle regulation
04

Disease associations

Cancer (most prominent)Diabetes and metabolic disordersNeurodegenerative diseasesImmunodeficiencyInflammationCardiovascular disease (less common but implicated)
05

Safety considerations

Hyperglycemia/insulin resistance (metabolic side effects)Immunosuppression (particularly for mTOR inhibitors)Stomatitis (mTOR inhibitor-specific)Increased risk of infectionsDermatologic toxicitiesGastrointestinal toxicityNon-specific target inhibition leading to off-target effects
06

Interacting drugs

PI3K inhibitors: idelalisib, alpelisib, copanlisib, duvelisib

2 more in the full profile.

07

Biomarkers

PIK3CA gene mutation status (for PI3K)PTEN loss/mutation (upstream negative regulator, impacting PI3K pathway activity)Phosphorylated AKT (reflects pathway activity)Phosphorylated S6K (target of mTORC1)Phosphorylated 4EBP1 (target of mTOR)mTOR expression/activity

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