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Phosphoinositide 3-kinase and mechanistic target of rapamycin complex 1 and 2 (PI3K, mTORC1, mTORC2)

Target
PI3K, mTORC1, mTORC2
Molecular classification
Enzyme (protein kinase; PI3K and mTOR are both kinases), Signal transduction protein, Multiprotein complex (for mTORC1, mTORC2)
01

Overview

The phosphoinositide 3-kinase (PI3K)–mechanistic target of rapamycin (mTOR) pathway is a central intracellular signaling axis regulating cell growth, proliferation, metabolism, and survival. PI3K, a lipid kinase, generates PIP3 which activates downstream targets including Akt. mTOR functions as the core kinase within two complexes: mTORC1 and mTORC2. mTORC1, composed of mTOR, Raptor, mLST8, PRAS40, and DEPTOR, integrates signals from nutrients and growth factors to stimulate anabolic processes and inhibit autophagy. mTORC2, with mTOR, Rictor, mLST8, mSIN1, Protor, and DEPTOR, regulates AGC kinases like Akt and is crucial for cytoskeletal organization and cell survival. Dysregulation of this signaling network is a hallmark of cancer and other diseases. Therapeutic targeting includes specific and dual inhibitors of PI3K, mTORC1, and mTORC2, but is challenged by feedback loops, pathway crosstalk, toxicity, and compensatory resistance mechanisms.

Other names
Phosphoinositide 3-kinasephosphatidylinositol 3-kinaseMechanistic target of rapamycinmammalian target of rapamycinMechanistic target of rapamycin complex 1Mechanistic target of rapamycin complex 2FRAP (FKBP-rapamycin associated protein)mLST8 (shared complex component, aka GβL)Raptor (mTORC1 subunit)Rictor (mTORC2 subunit)mSIN1 (mTORC2 subunit)PRAS40 (inhibitory mTORC1 subunit)DEPTOR (shared inhibitor)
02

Mechanism of action

PI3K inhibitors prevent generation of PIP3, halting downstream activation of Akt and mTOR. mTORC1 inhibitors block phosphorylation of effectors such as S6K and 4E-BP1, disrupting protein synthesis and cell growth. mTORC2 inhibitors block activation of AGC kinase family members, importantly AKT (Ser473), impacting cell survival signal transduction. Dual inhibitors block both PI3K and mTORC1/2, leading to broader pathway inhibition.

03

Biological functions

Signal transductionCell growth and proliferationProtein, lipid, and nucleic acid biosynthesisCell metabolismControl of autophagyRegulation of apoptosisCytoskeleton organization (mTORC2)Cell survival and cell cycle progression
04

Disease associations

CancerDiabetes/Metabolic diseaseNeurological diseaseInflammationCardiovascular diseaseOther proliferative or metabolic disorders
05

Safety considerations

Hyperglycemia and insulin resistance (due to mTOR pathway regulation of metabolism and PI3K role in insulin signaling)Immunosuppression (notably with mTORC1 inhibition, e.g., rapamycin)Mucositis, stomatitis (common with mTOR inhibitors)Increased risk of infectionsCutaneous and metabolic adverse effects
06

Interacting drugs

Rapamycin (Sirolimus; inhibits mTORC1)

4 more in the full profile.

07

Biomarkers

Phosphorylated AKT (Ser473 as a readout for mTORC2 activity, Thr308 for PI3K activity)Phosphorylated S6K (S6 kinase, mTORC1 activity marker)Phosphorylated 4E-BP1PIP3 levels (PI3K activity)Genetic alterations in PIK3CA, PTEN loss, or mTOR pathway gene mutations (selection for PI3K/mTOR pathway targeting)

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