PMID- 22248929 OWN - NLM STAT- MEDLINE DCOM- 20120629 LR - 20211203 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 2 IP - 12 DP - 2011 Dec TI - Will PI3K pathway inhibitors be effective as single agents in patients with cancer? PG - 1314-21 AB - The phosphatidylinositol 3-kinase (PI3K)/AKT/mammalian target of rapamycin (mTOR) axis regulates essential cellular functions including cell survival, proliferation, metabolism, migration, and angiogenesis. The PI3K pathway is activated in human cancers by mutation, amplification, and deletion of genes encoding components of this pathway. The critical role of PI3K in cancer has led to the development of drugs targeting the effector mechanisms of this signaling network. Recent studies have shown that inhibition at multiple levels of the PI3K pathway results in FOXO-dependent feedback reactivation of several receptor tyrosine kinases (RTKs) which, in turn, limit the sustained inhibition of this pathway and attenuates the action of therapeutic antagonists. This suggests that if used as single agents, PI3K pathway inhibitors may have limited clinical activity. We propose herein that to successfully target the output of the PI3K pathway in cancer cells, combination therapies that hinder these compensatory mechanisms should be used. Thus, combination therapies that target RTKs, PI3K, and mTOR activities may be required to maximize the clinical benefit derived from treatment with these inhibitors. FAU - Garrett, Joan T AU - Garrett JT AD - Department of Medicine, Vanderbilt-Ingram Cancer Center, Vanderbilt University, Nashville, TN, USA. FAU - Chakrabarty, Anindita AU - Chakrabarty A FAU - Arteaga, Carlos L AU - Arteaga CL LA - eng PT - Journal Article PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 RN - 0 (Antineoplastic Agents) RN - 0 (FOXO1 protein, human) RN - 0 (Forkhead Box Protein O1) RN - 0 (Forkhead Transcription Factors) RN - 0 (Phosphoinositide-3 Kinase Inhibitors) RN - 0 (Protein Kinase Inhibitors) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.1.137 (Phosphatidylinositol 3-Kinase) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM EIN - Oncotarget. 2018 Aug 17;9(64):32400. PMID: 30190795 MH - Animals MH - Antineoplastic Agents/pharmacology MH - Forkhead Box Protein O1 MH - Forkhead Transcription Factors/metabolism MH - Humans MH - Mice MH - Neoplasms/drug therapy/*metabolism/pathology MH - Phosphatidylinositol 3-Kinase/metabolism MH - *Phosphoinositide-3 Kinase Inhibitors MH - Protein Kinase Inhibitors/pharmacology MH - Proto-Oncogene Proteins c-akt/metabolism MH - Receptor Protein-Tyrosine Kinases/*metabolism MH - Signal Transduction/drug effects MH - TOR Serine-Threonine Kinases/metabolism PMC - PMC3282088 EDAT- 2012/01/18 06:00 MHDA- 2012/06/30 06:00 PMCR- 2011/12/01 CRDT- 2012/01/18 06:00 PHST- 2012/01/18 06:00 [entrez] PHST- 2012/01/18 06:00 [pubmed] PHST- 2012/06/30 06:00 [medline] PHST- 2011/12/01 00:00 [pmc-release] AID - 409 [pii] AID - 10.18632/oncotarget.409 [doi] PST - ppublish SO - Oncotarget. 2011 Dec;2(12):1314-21. doi: 10.18632/oncotarget.409.