PMID- 37627318 OWN - NLM STAT- MEDLINE DCOM- 20230828 LR - 20230828 IS - 2218-273X (Electronic) IS - 2218-273X (Linking) VI - 13 IP - 8 DP - 2023 Aug 16 TI - Endometriosis-Associated Ovarian Carcinomas: How PI3K/AKT/mTOR Pathway Affects Their Pathogenesis. LID - 10.3390/biom13081253 [doi] LID - 1253 AB - Ovarian clear cell (OCCC) and endometrioid (EnOC) carcinomas are often subsumed under the umbrella term "endometriosis-associated ovarian cancer" (EAOC), since they frequently arise from ectopic endometrium settled in the ovaries. The phosphatidylinositol 3-kinase (PI3K)/protein kinase B (AKT)/mammalian target of rapamycin (mTOR) pathway is known to be aberrantly activated both in endometriosis and EAOC; however, its role in the progression of endometriosis to ovarian cancer remains unclear. In fact, cancer-associated alterations in the mTOR pathway may be found in normal uterine epithelium, likely acting as a first step towards ovarian cancer, through the intermediary stage of endometriosis. This review aims to summarize the current knowledge regarding mTOR signaling dysregulation in the uterine endometrium, endometriosis, and EAOC while focusing on the interconnections between the PI3K/AKT/mTOR pathway and other signaling molecules that give rise to synergistic molecular mechanisms triggering ovarian cancer development in the presence of endometriosis. FAU - Driva, Tatiana S AU - Driva TS AUID- ORCID: 0000-0002-9511-6393 AD - First Department of Pathology, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece. FAU - Schatz, Christoph AU - Schatz C AUID- ORCID: 0000-0001-8017-3400 AD - Institute of Pathology, Neuropathology and Molecular Pathology, Medical University of Innsbruck, 6020 Innsbruck, Austria. FAU - Haybaeck, Johannes AU - Haybaeck J AD - Institute of Pathology, Neuropathology and Molecular Pathology, Medical University of Innsbruck, 6020 Innsbruck, Austria. AD - Diagnostic & Research Center for Molecular Biomedicine, Institute of Pathology, Medical University of Graz, 8010 Graz, Austria. LA - eng PT - Journal Article PT - Review DEP - 20230816 PL - Switzerland TA - Biomolecules JT - Biomolecules JID - 101596414 RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.1.- (Phosphatidylinositol 3-Kinases) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.1.137 (Phosphatidylinositol 3-Kinase) SB - IM MH - Female MH - Humans MH - Proto-Oncogene Proteins c-akt MH - Phosphatidylinositol 3-Kinases MH - *Endometriosis MH - *Ovarian Neoplasms MH - TOR Serine-Threonine Kinases MH - Phosphatidylinositol 3-Kinase MH - *Carcinoma PMC - PMC10452661 OTO - NOTNLM OT - ARID1A mutations OT - PI3K/AKT/mTOR pathway OT - endometriosis OT - endometrium OT - ovarian cancer COIS- The authors declare no conflict of interest. EDAT- 2023/08/26 10:44 MHDA- 2023/08/28 07:16 PMCR- 2023/08/16 CRDT- 2023/08/26 01:05 PHST- 2023/07/16 00:00 [received] PHST- 2023/08/05 00:00 [revised] PHST- 2023/08/14 00:00 [accepted] PHST- 2023/08/28 07:16 [medline] PHST- 2023/08/26 10:44 [pubmed] PHST- 2023/08/26 01:05 [entrez] PHST- 2023/08/16 00:00 [pmc-release] AID - biom13081253 [pii] AID - biomolecules-13-01253 [pii] AID - 10.3390/biom13081253 [doi] PST - epublish SO - Biomolecules. 2023 Aug 16;13(8):1253. doi: 10.3390/biom13081253.