Role of PI3K/Akt/mTOR pathway in mediating endocrine resistance: concept to clinic
The majority of breast cancers express the estrogen receptor (ER) and for this group of patients, endocrine therapy is the cornerstone of systemic treatment. However, drug resistance is common and a focus for breast cancer preclinical and clinical research. Over the past 2 decades, the PI3K/Akt/mTOR...
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| Vydané v: | Exploration of targeted anti-tumor therapy Ročník 3; číslo 2; s. 172 - 199 |
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| Hlavní autori: | , , , |
| Médium: | Journal Article |
| Jazyk: | English |
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Open Exploration
2022
Open Exploration Publishing Inc |
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| ISSN: | 2692-3114, 2692-3114 |
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| Abstract | The majority of breast cancers express the estrogen receptor (ER) and for this group of patients, endocrine therapy is the cornerstone of systemic treatment. However, drug resistance is common and a focus for breast cancer preclinical and clinical research. Over the past 2 decades, the PI3K/Akt/mTOR axis has emerged as an important driver of treatment failure, and inhibitors of mTOR and PI3K are now licensed for the treatment of women with advanced ER-positive breast cancer who have relapsed on first-line hormonal therapy. This review presents the preclinical and clinical data that led to this new treatment paradigm and discusses future directions. |
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| AbstractList | The majority of breast cancers express the estrogen receptor (ER) and for this group of patients, endocrine therapy is the cornerstone of systemic treatment. However, drug resistance is common and a focus for breast cancer preclinical and clinical research. Over the past 2 decades, the PI3K/Akt/mTOR axis has emerged as an important driver of treatment failure, and inhibitors of mTOR and PI3K are now licensed for the treatment of women with advanced ER-positive breast cancer who have relapsed on first-line hormonal therapy. This review presents the preclinical and clinical data that led to this new treatment paradigm and discusses future directions. The majority of breast cancers express the estrogen receptor (ER) and for this group of patients, endocrine therapy is the cornerstone of systemic treatment. However, drug resistance is common and a focus for breast cancer preclinical and clinical research. Over the past 2 decades, the PI3K/Akt/mTOR axis has emerged as an important driver of treatment failure, and inhibitors of mTOR and PI3K are now licensed for the treatment of women with advanced ER-positive breast cancer who have relapsed on first-line hormonal therapy. This review presents the preclinical and clinical data that led to this new treatment paradigm and discusses future directions.The majority of breast cancers express the estrogen receptor (ER) and for this group of patients, endocrine therapy is the cornerstone of systemic treatment. However, drug resistance is common and a focus for breast cancer preclinical and clinical research. Over the past 2 decades, the PI3K/Akt/mTOR axis has emerged as an important driver of treatment failure, and inhibitors of mTOR and PI3K are now licensed for the treatment of women with advanced ER-positive breast cancer who have relapsed on first-line hormonal therapy. This review presents the preclinical and clinical data that led to this new treatment paradigm and discusses future directions. |
| Author | Little, Martin Lord, Simon D’Costa, Jamie Skolariki, Aglaia |
| Author_xml | – sequence: 1 givenname: Aglaia orcidid: 0000-0001-5354-0359 surname: Skolariki fullname: Skolariki, Aglaia organization: Department of Oncology, University of Oxford, Churchill Hospital, OX3 7LE Oxford, UK – sequence: 2 givenname: Jamie orcidid: 0000-0002-6644-0661 surname: D’Costa fullname: D’Costa, Jamie organization: Department of Oncology, University of Oxford, Churchill Hospital, OX3 7LE Oxford, UK – sequence: 3 givenname: Martin orcidid: 0000-0003-2592-1570 surname: Little fullname: Little, Martin organization: Department of Oncology, Churchill Hospital, OX3 7LE Oxford, UK – sequence: 4 givenname: Simon orcidid: 0000-0001-7946-5609 surname: Lord fullname: Lord, Simon organization: Department of Oncology, University of Oxford, Churchill Hospital, OX3 7LE Oxford, UK |
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| CitedBy_id | crossref_primary_10_1038_s41523_024_00645_3 crossref_primary_10_3390_cancers16030678 crossref_primary_10_3390_cancers16101862 crossref_primary_10_1016_j_bcp_2025_116850 crossref_primary_10_1016_j_biopha_2023_115676 crossref_primary_10_3390_ijms23169008 crossref_primary_10_1002_ijc_70067 crossref_primary_10_1016_j_canlet_2023_216058 crossref_primary_10_1177_10915818231200419 crossref_primary_10_1016_j_critrevonc_2025_104707 |
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