PMID- 36503229 OWN - NLM STAT- MEDLINE DCOM- 20221223 LR - 20230105 IS - 1520-4804 (Electronic) IS - 0022-2623 (Linking) VI - 65 IP - 24 DP - 2022 Dec 22 TI - Targeting the PI3K/AKT/mTOR Signaling Pathway in the Treatment of Human Diseases: Current Status, Trends, and Solutions. PG - 16033-16061 LID - 10.1021/acs.jmedchem.2c01070 [doi] AB - The phosphoinositide 3-kinase (PI3K)/protein kinase B (AKT)/mammalian target of rapamycin (mTOR) pathway is one of the most important intracellular pathways involved in cell proliferation, growth, differentiation, and survival. Therefore, this route is a prospective biological target for treating various human diseases, such as tumors, neurodegenerative diseases, pulmonary fibrosis, and diabetes. An increasing number of clinical studies emphasize the necessity of developing novel molecules targeting the PI3K/AKT/mTOR pathway. This review focuses on recent advances in ATP-competitive inhibitors, allosteric inhibitors, covalent inhibitors, and proteolysis-targeting chimeras against the PI3K/AKT/mTOR pathway, and highlights possible solutions for overcoming the toxicities and acquired drug resistance of currently available drugs. We also provide recommendations for the future design and development of promising drugs targeting this pathway. FAU - Huang, Jindi AU - Huang J AD - Guangdong Provincial Key Laboratory of Fermentation and Enzyme Engineering, Joint International Research Laboratory of Synthetic Biology and Medicine, Guangdong Provincial Engineering and Technology Research Center of Biopharmaceuticals, School of Biology and Biological Engineering, South China University of Technology, Guangzhou 510006, China. FAU - Chen, Liye AU - Chen L AD - Guangdong Provincial Key Laboratory of Fermentation and Enzyme Engineering, Joint International Research Laboratory of Synthetic Biology and Medicine, Guangdong Provincial Engineering and Technology Research Center of Biopharmaceuticals, School of Biology and Biological Engineering, South China University of Technology, Guangzhou 510006, China. FAU - Wu, Jiangxia AU - Wu J AD - Guangdong Provincial Key Laboratory of Fermentation and Enzyme Engineering, Joint International Research Laboratory of Synthetic Biology and Medicine, Guangdong Provincial Engineering and Technology Research Center of Biopharmaceuticals, School of Biology and Biological Engineering, South China University of Technology, Guangzhou 510006, China. FAU - Ai, Daiqiao AU - Ai D AD - Guangdong Provincial Key Laboratory of Fermentation and Enzyme Engineering, Joint International Research Laboratory of Synthetic Biology and Medicine, Guangdong Provincial Engineering and Technology Research Center of Biopharmaceuticals, School of Biology and Biological Engineering, South China University of Technology, Guangzhou 510006, China. FAU - Zhang, Ji-Quan AU - Zhang JQ AUID- ORCID: 0000-0002-8034-7551 AD - College of Pharmacy, Guizhou Medical University, Guiyang 550004, China. FAU - Chen, Tie-Gen AU - Chen TG AD - Zhongshan Institute for Drug Discovery, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Room 109, Building C, SSIP Healthcare and Medicine Demonstration Zone, Zhongshan Tsuihang New District, Zhongshan, Guangdong 528400, China. FAU - Wang, Ling AU - Wang L AUID- ORCID: 0000-0001-5116-7749 AD - Guangdong Provincial Key Laboratory of Fermentation and Enzyme Engineering, Joint International Research Laboratory of Synthetic Biology and Medicine, Guangdong Provincial Engineering and Technology Research Center of Biopharmaceuticals, School of Biology and Biological Engineering, South China University of Technology, Guangzhou 510006, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20221212 PL - United States TA - J Med Chem JT - Journal of medicinal chemistry JID - 9716531 RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.1.137 (Phosphatidylinositol 3-Kinase) RN - EC 2.7.1.- (Phosphatidylinositol 3-Kinases) RN - 0 (Phosphoinositide-3 Kinase Inhibitors) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.1.1 (MTOR protein, human) SB - IM MH - Humans MH - *Proto-Oncogene Proteins c-akt/metabolism MH - *Phosphatidylinositol 3-Kinase/metabolism MH - Phosphatidylinositol 3-Kinases/metabolism MH - Prospective Studies MH - Phosphoinositide-3 Kinase Inhibitors MH - Signal Transduction MH - TOR Serine-Threonine Kinases EDAT- 2022/12/13 06:00 MHDA- 2022/12/24 06:00 CRDT- 2022/12/12 09:03 PHST- 2022/12/13 06:00 [pubmed] PHST- 2022/12/24 06:00 [medline] PHST- 2022/12/12 09:03 [entrez] AID - 10.1021/acs.jmedchem.2c01070 [doi] PST - ppublish SO - J Med Chem. 2022 Dec 22;65(24):16033-16061. doi: 10.1021/acs.jmedchem.2c01070. Epub 2022 Dec 12.