PMID- 33123479 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201031 IS - 2234-943X (Print) IS - 2234-943X (Electronic) IS - 2234-943X (Linking) VI - 10 DP - 2020 TI - Therapeutic Potential of Autophagy in Glioblastoma Treatment With Phosphoinositide 3-Kinase/Protein Kinase B/Mammalian Target of Rapamycin Signaling Pathway Inhibitors. PG - 572904 LID - 10.3389/fonc.2020.572904 [doi] LID - 572904 AB - Glioblastoma (GB) is the most malignant and aggressive form of brain tumor, characterized by frequent hyperactivation of the phosphoinositide 3-kinase (PI3K)/protein kinase B (AKT)/mammalian target of rapamycin (mTOR) signaling pathway. PI3K/AKT/mTOR inhibitors have a promising clinical efficacy theoretically. However, strong drug resistance is developed in GB against the PI3K/AKT/mTOR inhibitors due to the cytoprotective effect and the adaptive response of autophagy during the treatment of GB. Activation of autophagy by the PI3K/AKT/mTOR inhibitors not only enhances treatment sensitivity but also leads to cell survival when drug resistance develops in cancer cells. In this review, we analyze how to increase the antitumor effect of the PI3K/AKT/mTOR inhibitors in GB treatment, which is achieved by various mechanisms, among which targeting autophagy is an important mechanism. We review the dual role of autophagy in both GB therapy and resistance against inhibitors of the PI3K/AKT/mTOR signaling pathway, and further discuss the possibility of using combinations of autophagy and PI3K/AKT/mTOR inhibitors to improve the treatment efficacy for GB. Finally, we provide new perspectives for targeting autophagy in GB therapy. CI - Copyright (c) 2020 Xia, Xu, Zhang, Liu, Meng and Dong. FAU - Xia, Qin AU - Xia Q AD - School of Life Science, Beijing Institute of Technology, Beijing, China. FAU - Xu, Mengchuan AU - Xu M AD - School of Life Science, Beijing Institute of Technology, Beijing, China. FAU - Zhang, Pei AU - Zhang P AD - School of Life Science, Beijing Institute of Technology, Beijing, China. FAU - Liu, Liqun AU - Liu L AD - School of Life Science, Beijing Institute of Technology, Beijing, China. FAU - Meng, Xinyi AU - Meng X AD - School of Life Science, Beijing Institute of Technology, Beijing, China. FAU - Dong, Lei AU - Dong L AD - School of Life Science, Beijing Institute of Technology, Beijing, China. LA - eng PT - Journal Article PT - Review DEP - 20201002 PL - Switzerland TA - Front Oncol JT - Frontiers in oncology JID - 101568867 PMC - PMC7567033 OTO - NOTNLM OT - PI3K/AKT/mTOR inhibitors OT - autophagy OT - combination therapy OT - drug resistance OT - glioblastoma EDAT- 2020/10/31 06:00 MHDA- 2020/10/31 06:01 PMCR- 2020/01/01 CRDT- 2020/10/30 05:55 PHST- 2020/06/15 00:00 [received] PHST- 2020/08/20 00:00 [accepted] PHST- 2020/10/30 05:55 [entrez] PHST- 2020/10/31 06:00 [pubmed] PHST- 2020/10/31 06:01 [medline] PHST- 2020/01/01 00:00 [pmc-release] AID - 10.3389/fonc.2020.572904 [doi] PST - epublish SO - Front Oncol. 2020 Oct 2;10:572904. doi: 10.3389/fonc.2020.572904. eCollection 2020.