PMID- 21115427 OWN - NLM STAT- MEDLINE DCOM- 20110802 LR - 20211203 IS - 1938-0666 (Electronic) IS - 1526-8209 (Linking) VI - 10 Suppl 3 DP - 2010 Nov TI - Biomarkers and patient selection for PI3K/Akt/mTOR targeted therapies: current status and future directions. PG - S86-95 LID - 10.3816/CBC.2010.s.017 [doi] AB - The phosphatidylinositol 3-kinase (PI3K)/Akt/ mammalian target of rapamycin (mTOR) pathway regulates a broad spectrum of physiologic and pathologic processes. In breast cancer mutation, amplification, deletion, methylation, and posttranslational modifications lead to significant dysregulation of this pathway leading to more aggressive and potentially drug-resistant disease. Multiple novel agents, targeting different nodes within the pathway are currently under development by both commercial and academic partners. The key to the successful validation of these markers is selection of the appropriate patient groups using biomarkers. This article reviews current progress in this area, highlighting the key molecular alterations described in genes within the PI3K/Akt/mTOR pathway that may have an effect on response to current and future therapeutic interventions. Herein, gaps in current knowledge are highlighted and suggestions for future research directions given that may facilitate biomarker development in partnership with current drug development. FAU - Bartlett, John M S AU - Bartlett JM AD - Endocrine Cancer Group and Edinburgh Breakthrough Breast Cancer Laboratory, Edinburgh University,Western General Hospital, Crewe Road South, Edinburgh, UK. john.bartlett@ed.ac.uk LA - eng PT - Journal Article PT - Review PL - United States TA - Clin Breast Cancer JT - Clinical breast cancer JID - 100898731 RN - 0 (Biomarkers, Tumor) RN - 0 (Phosphoinositide-3 Kinase Inhibitors) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Biomarkers, Tumor/*antagonists & inhibitors/genetics MH - Breast Neoplasms/*drug therapy/enzymology MH - Female MH - Forecasting MH - Humans MH - Molecular Targeted Therapy/methods MH - Mutation/genetics MH - *Patient Selection MH - Phosphatidylinositol 3-Kinases/genetics MH - *Phosphoinositide-3 Kinase Inhibitors MH - Proto-Oncogene Proteins c-akt/*antagonists & inhibitors/genetics MH - Signal Transduction/genetics MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors/genetics EDAT- 2010/12/01 06:00 MHDA- 2011/08/04 06:00 CRDT- 2010/12/01 06:00 PHST- 2010/12/01 06:00 [entrez] PHST- 2010/12/01 06:00 [pubmed] PHST- 2011/08/04 06:00 [medline] AID - N367051602716271 [pii] AID - 10.3816/CBC.2010.s.017 [doi] PST - ppublish SO - Clin Breast Cancer. 2010 Nov;10 Suppl 3:S86-95. doi: 10.3816/CBC.2010.s.017.