PMID- 21110697 OWN - NLM STAT- MEDLINE DCOM- 20110316 LR - 20220318 IS - 1744-7631 (Electronic) IS - 1472-8222 (Print) IS - 1472-8222 (Linking) VI - 15 IP - 1 DP - 2011 Jan TI - EGFR-PI3K-AKT-mTOR signaling in head and neck squamous cell carcinomas: attractive targets for molecular-oriented therapy. PG - 63-74 LID - 10.1517/14728222.2011.541440 [doi] AB - IMPORTANCE OF THE FIELD: Recent advances in the understanding of the oncogenesis of head and neck squamous cell carcinomas (HNSCC) have revealed multiple dysregulated signaling pathways. One frequently altered axis is the EGFR-PI3K-Akt-mTOR pathway. This pathway plays a central role in numerous cellular processes including metabolism, cell growth, apoptosis, survival and differentiation, which ultimately contributes to HNSCC progression. AREAS COVERED IN THIS REVIEW: Books, journals, databases and websites have been searched to provide a current review on the subject. WHAT THE READER WILL GAIN: This article reviews the current understanding of EGFR-PI3K-Akt-mTOR signaling in HNSCC, including the impact of both genetic and epigenetic alterations. This review further highlights the potential of targeting this signaling cascade as a promising therapeutic approach in the treatment of HNSCC. TAKE HOME MESSAGE: Genetic alterations of several nodes within this pathway, including both genetic and epigenetic changes, leading to either oncogene activation or inactivation of tumor suppressors have frequently been implicated in HNSCC. Consequently, drugs that target the central nodes of this pathway have become attractive for molecular oriented cancer therapies. Numerous preclinical and clinical studies are being performed in HNSCC; however, more studies are still needed to better understand the biology of this pathway. FAU - Freudlsperger, Christian AU - Freudlsperger C AD - National Institute on Deafness and Other Communication Disorders, National Institutes of Health, Head and Neck Surgery Branch, Bethesda, MD 20892, USA. FAU - Burnett, Jeffrey R AU - Burnett JR FAU - Friedman, Jay A AU - Friedman JA FAU - Kannabiran, Vishnu R AU - Kannabiran VR FAU - Chen, Zhong AU - Chen Z FAU - Van Waes, Carter AU - Van Waes C LA - eng GR - Z01 DC000073-01/ImNIH/Intramural NIH HHS/United States GR - ZIA DC000073/ImNIH/Intramural NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review DEP - 20101126 PL - England TA - Expert Opin Ther Targets JT - Expert opinion on therapeutic targets JID - 101127833 RN - 0 (Antineoplastic Agents) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Animals MH - Antineoplastic Agents/*pharmacology MH - Carcinoma, Squamous Cell/*drug therapy/genetics/physiopathology MH - Drug Delivery Systems MH - ErbB Receptors/genetics/metabolism MH - Head and Neck Neoplasms/*drug therapy/genetics/physiopathology MH - Humans MH - Phosphatidylinositol 3-Kinases/genetics/metabolism MH - Proto-Oncogene Proteins c-akt/genetics/metabolism MH - Signal Transduction/drug effects MH - TOR Serine-Threonine Kinases/genetics/metabolism PMC - PMC3399735 MID - NIHMS391465 COIS- Declaration of interest Gefitinib (Astra Zeneca) and PI3K-mTOR inhibitors (Pfizer) have been provided for research and clinical trials through material transfer and clinical trials agreements between these companies and the National Cancer Institute or National Institute on Deafness and Other Communication Disorders. Dr. Van Waes and the other authors declare no financial conflict of interest and have received no payment in preparation of this manuscript. EDAT- 2010/11/30 06:00 MHDA- 2011/03/17 06:00 PMCR- 2012/07/18 CRDT- 2010/11/30 06:00 PHST- 2010/11/30 06:00 [entrez] PHST- 2010/11/30 06:00 [pubmed] PHST- 2011/03/17 06:00 [medline] PHST- 2012/07/18 00:00 [pmc-release] AID - 10.1517/14728222.2011.541440 [doi] PST - ppublish SO - Expert Opin Ther Targets. 2011 Jan;15(1):63-74. doi: 10.1517/14728222.2011.541440. Epub 2010 Nov 26.