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PI3K/AKT/mTOR通路作为卵巢癌的治疗靶点

The PI3K/AKT/mTOR pathway as a therapeutic target in ovarian cancer.

作者信息

Mabuchi Seiji, Kuroda Hiromasa, Takahashi Ryoko, Sasano Tomoyuki

机构信息

Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan.

Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan.

出版信息

Gynecol Oncol. 2015 Apr;137(1):173-9. doi: 10.1016/j.ygyno.2015.02.003. Epub 2015 Feb 10.

Abstract

The phosphatidylinositol 3-kinase (PI3K)/AKT/mammalian target of rapamycin (mTOR) pathway plays a critical role in the malignant transformation of human tumors and their subsequent growth, proliferation, and metastasis. Preclinical investigations have suggested that the PI3K/AKT/mTOR pathway is frequently activated in ovarian cancer, especially in clear cell carcinoma and endometrioid adenocarcinoma. Thus, this pathway is regarded as an attractive candidate for therapeutic interventions, and inhibitors targeting different components of this pathway are in various stages of clinical development. Here, we highlight the recent progress that has been made in our understanding of the PI3K/AKT/mTOR pathway and discuss the potential of therapeutic agents that target this pathway as treatments for ovarian cancer and the obstacles to their development.

摘要

磷脂酰肌醇3激酶(PI3K)/蛋白激酶B(AKT)/雷帕霉素哺乳动物靶点(mTOR)信号通路在人类肿瘤的恶性转化及其随后的生长、增殖和转移过程中发挥着关键作用。临床前研究表明,PI3K/AKT/mTOR信号通路在卵巢癌中经常被激活,尤其是在透明细胞癌和子宫内膜样腺癌中。因此,该信号通路被视为治疗干预的一个有吸引力的靶点,针对该信号通路不同组分的抑制剂正处于临床开发的不同阶段。在此,我们重点介绍了我们对PI3K/AKT/mTOR信号通路认识方面的最新进展,并讨论了靶向该信号通路的治疗药物作为卵巢癌治疗手段的潜力及其开发过程中面临的障碍。

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