PMID- 35987481 OWN - NLM STAT- MEDLINE DCOM- 20220913 LR - 20220914 IS - 1096-1186 (Electronic) IS - 1043-6618 (Linking) VI - 183 DP - 2022 Sep TI - Targeting Akt/PKB in pediatric tumors: A review from preclinical to clinical trials. PG - 106403 LID - S1043-6618(22)00348-6 [pii] LID - 10.1016/j.phrs.2022.106403 [doi] AB - The serine/threonine kinase Akt is a major player in the phosphoinositide 3-kinase (PI3K)/Akt/mammalian target of rapamycin (mTOR) signaling pathway, and its modulation impacts multiple cellular processes such as growth, proliferation, and survival. Several abnormalities in this pathway have been documented over the years, and these alterations were shown to have great implications in tumorigenesis and resistance to chemotherapy. Thus, multiple Akt inhibitors have been developed and tested in adult tumors, and some of them are currently undergoing phase I, II, and III clinical trials for distinct cancers that arise during adulthood. Despite that, the impact of these inhibitors is still not fully understood in pediatric tumors, and Akt-specific targeting seems to be a promising approach to treat children affected by cancers. This review summarizes recent available evidence of Akt inhibitors in pediatric cancers, from both preclinical and clinical studies. In short, we demonstrate the impact that Akt inhibition provides in tumorigenesis, and we suggest targeting the PI3K/Akt/mTOR signaling pathway, alone or in combination with other inhibitors, is a feasible tool to achieve better outcomes in pediatric tumors. CI - Copyright (c) 2022 Elsevier Ltd. All rights reserved. FAU - Toson, Bruno AU - Toson B AD - Cancer and Neurobiology Laboratory, Experimental Research Center, Clinical Hospital (CPE-HCPA), Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil. FAU - Fortes, Isadora S AU - Fortes IS AD - Pharmaceutical Synthesis Group (PHARSG), College of Pharmacy, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil; Pharmaceutical Sciences Graduate Program, Federal University of Rio Grande do Sul (UFRGS), Av. Ipiranga, 2752, Porto Alegre, RS 90610-000, Brazil. FAU - Roesler, Rafael AU - Roesler R AD - Cancer and Neurobiology Laboratory, Experimental Research Center, Clinical Hospital (CPE-HCPA), Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil; Department of Pharmacology, Institute for Basic Health Sciences, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil. FAU - Andrade, Saulo F AU - Andrade SF AD - Pharmaceutical Synthesis Group (PHARSG), College of Pharmacy, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil; Pharmaceutical Sciences Graduate Program, Federal University of Rio Grande do Sul (UFRGS), Av. Ipiranga, 2752, Porto Alegre, RS 90610-000, Brazil. Electronic address: saulo.fernandes@ufrgs.br. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20220818 PL - Netherlands TA - Pharmacol Res JT - Pharmacological research JID - 8907422 RN - 0 (Protein Kinase Inhibitors) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Adult MH - Carcinogenesis MH - Child MH - Humans MH - *Neoplasms/drug therapy MH - *Phosphatidylinositol 3-Kinases/metabolism MH - Protein Kinase Inhibitors/pharmacology/therapeutic use MH - Proto-Oncogene Proteins c-akt/metabolism MH - Sirolimus/pharmacology MH - TOR Serine-Threonine Kinases/metabolism OTO - NOTNLM OT - AZD5363 (PubChem CID 25227436) OT - Akt inhibitor OT - CCT128930 (PubChem CID17751819) OT - GDC-0068 (PubChem CID 24788740) OT - GSK2110183 (PubChem CID 92044396) OT - GSK2141795 (PubChem CID 51042438) OT - GSK690693 (PubChem CID 16725726) OT - MK-2206 (PubChem CID 24964624) OT - PI3K/Akt/mTOR pathway OT - Pediatric cancer OT - Perifosine (PubChem CID 148177) OT - TAS-117 (PubChem CID 66555816) OT - Targeted therapy OT - Triciribine (PubChem CID 65399) COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2022/08/21 06:00 MHDA- 2022/09/14 06:00 CRDT- 2022/08/20 19:35 PHST- 2022/06/28 00:00 [received] PHST- 2022/08/01 00:00 [revised] PHST- 2022/08/15 00:00 [accepted] PHST- 2022/08/21 06:00 [pubmed] PHST- 2022/09/14 06:00 [medline] PHST- 2022/08/20 19:35 [entrez] AID - S1043-6618(22)00348-6 [pii] AID - 10.1016/j.phrs.2022.106403 [doi] PST - ppublish SO - Pharmacol Res. 2022 Sep;183:106403. doi: 10.1016/j.phrs.2022.106403. Epub 2022 Aug 18.