PMID- 36243854 OWN - NLM STAT- MEDLINE DCOM- 20221018 LR - 20230411 IS - 0070-217X (Print) IS - 2196-9965 (Electronic) IS - 0070-217X (Linking) VI - 436 DP - 2022 TI - PI3K Targeting in Non-solid Cancer. PG - 393-407 LID - 10.1007/978-3-031-06566-8_17 [doi] AB - Despite the therapeutic progress, relapse remains a major problem in the treatment of acute lymphoblastic leukemia (ALL). Most leukemia cells that survive chemotherapy are found in the bone marrow (BM), thus resistance to chemotherapy and other treatments may be partially attributed to pro-survival signaling to leukemic cells mediated by leukemia cell-microenvironment interactions. Adhesion of leukemia cells to BM stromal cells may lead to cell adhesion-mediated drug resistance (CAM-DR) mediating intracellular signaling changes that support survival of leukemia cells. In ALL and chronic lymphocytic leukemia (CLL), adhesion-mediated activation of the PI3K/AKT signaling pathway has been shown to be critical in CAM-DR. PI3K targeting inhibitors have been approved for CLL and have been evaluated preclinically in ALL. However, PI3K inhibition has yet to be approved for clinical use in ALL. Here, we review the role of PI3K signaling for normal hematopoietic and leukemia cells and summarize preclinical inhibitors of PI3K in ALL. CI - (c) 2022. The Author(s), under exclusive license to Springer Nature Switzerland AG. FAU - Kim, Hye Na AU - Kim HN AD - Department of Pediatrics, Division of Hematology and Oncology, Children's Hospital Los Angeles, University of Southern California, Los Angeles, California, USA. FAU - Ogana, Heather AU - Ogana H AD - Department of Pediatrics, Division of Hematology and Oncology, Children's Hospital Los Angeles, University of Southern California, Los Angeles, California, USA. FAU - Sanchez, Vanessa AU - Sanchez V AD - Department of Pediatrics, Division of Hematology and Oncology, Children's Hospital Los Angeles, University of Southern California, Los Angeles, California, USA. FAU - Nichols, Cydney AU - Nichols C AD - Department of Pediatrics, Division of Hematology and Oncology, Children's Hospital Los Angeles, University of Southern California, Los Angeles, California, USA. FAU - Kim, Yong-Mi AU - Kim YM AD - Department of Pediatrics, Division of Hematology and Oncology, Children's Hospital Los Angeles, University of Southern California, Los Angeles, California, USA. ymkim@chla.usc.edu. LA - eng GR - R01 CA172896/CA/NCI NIH HHS/United States PT - Journal Article PT - Review PL - Germany TA - Curr Top Microbiol Immunol JT - Current topics in microbiology and immunology JID - 0110513 RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) SB - IM MH - Humans MH - *Leukemia, Lymphocytic, Chronic, B-Cell/drug therapy MH - *Mesenchymal Stem Cells/metabolism MH - Phosphatidylinositol 3-Kinases/genetics/metabolism MH - Proto-Oncogene Proteins c-akt/metabolism MH - Signal Transduction MH - Tumor Microenvironment PMC - PMC10075235 MID - NIHMS1856139 OTO - NOTNLM OT - Acute lymphoblastic leukemia (ALL) OT - Cell adhesion mediated drug resistance (CAM-DR) OT - PI3K/AKT OT - PI3Kgamma OT - PI3Kdelta COIS- Conflicts of Interest The authors declare no conflict of interest. EDAT- 2022/10/16 06:00 MHDA- 2022/10/19 06:00 PMCR- 2023/04/05 CRDT- 2022/10/15 23:30 PHST- 2022/10/15 23:30 [entrez] PHST- 2022/10/16 06:00 [pubmed] PHST- 2022/10/19 06:00 [medline] PHST- 2023/04/05 00:00 [pmc-release] AID - 10.1007/978-3-031-06566-8_17 [doi] PST - ppublish SO - Curr Top Microbiol Immunol. 2022;436:393-407. doi: 10.1007/978-3-031-06566-8_17.