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PI3King the Lock: Targeting the PI3K/Akt/mTOR Pathway as a Novel Therapeutic Strategy in Neuroblastoma
Abstract
Neuroblastoma is the most common extracranial cancer in childhood. High-risk neuroblastoma continues to have a poor prognosis and there is an urgent need to design biologically based therapies that specifically target the pathways responsible for malignant transformation and progression. One such pathway is the PI3K/Akt/mTOR pathway. In this article we outline the evidence for aberrant activation of the PI3K/Akt/mTOR pathway in neuroblastoma and discuss the possible mechanisms which mediate it. We also discuss the development of treatments targeting this pathway in neuroblastoma and the challenges that must be overcome before such treatments can enter routine clinical practice.
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“ROS are known to hyperactivate PI3K/Akt/mTOR (Phosphoinositide 3-Kinases/Protein kinase B/mammalian Target Of Rapamycin), an intracellular pathway playing an important role in cell cycle regulation, specifically proliferation, cancer, and longevity (King et al. 2015).”
From Reactive Oxygen Species, Toxicity, Oxidative Stress, and Antioxidants: Chronic Diseases and Aging (2023) · cites this paper as King et al. 2015
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“PI3K activation phosphorylates AKT, which translocates to the plasma membrane and produces a series of downstream effects, including activation of mTOR, which in turn exerts some of the most relevant transcriptional functions of the pathway [73].”
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“Active PI3K mediates phosphorylation of Akt on Thr 308 in the catalytic domain and Ser 473 in the regulatory domain, which leads to partial and full activation of Akt, respectively [24].”
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Phytochemicals and PI3K Inhibitors in Cancer—An Insight
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“There is a large body of evidence that the PI3K/Akt/ mTOR pathway plays an important role in the development and progression of NB (reviewed in [30]).”
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Bahmad, H. F., Mouhieddine, T. H., Chalhoub, R., Assi, S., Araji, T., Chamaa, F., Itani, M. M., Nokkari, A., Kobeissy, F. H., Daoud, G., et al. (2018) · Oncotarget · doi:10.18632/oncotarget.26088 · Cited by 54
“The targeted pathway has been shown to be aberrantly activated in both Glioblastoma [9] and Neuroblastoma [10] primary human samples, remarkably showing an increase in the levels of phosphorylated Akt in the cytoplasm of the malignant cells.”
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Regulation of Cancer Metabolism by Deubiquitinating Enzymes: The Warburg Effect
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Anti-cancer and Sensibilisation Effect of Triptolide on Human Epithelial Ovarian Cancer
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“The PI3K/Akt pathway is an intracellular signaling pathway that is important in regulating the cell cycle, and it is therefore directly related to cell growth, proliferation, metabolism, survival, apoptosis, angiogenesis, and tumourigenesis [18, 19].”
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“This included the up-regulation of two major phosphoinositide 3-kinases (PI3K)-Akt signaling pathway elements, cell division cycle 37 (CDC37) and mammalian target of rapamycin (mTOR)C2 (CRTC2), which are known to activate the RAC-alpha serine/threonine-protein kinase AKT by phosphorylation [30].”
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“The activation of PI3K phosphorylates and activates AKT, which regulates several downstream molecules, including mTOR [96].”
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“Since PI3K is the major mode of Akt activation [30], we also tested Akt phosphorylation with western blot, and observed increased Akt phosphorylation with insulin treatment and diminished Akt phosphorylation with LY294002 treatment in NRCMs (Fig.”
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“Through phosphorylation, PI3KAKT is activated, and the downstream effector participates in regulating tumor cell proliferation, growth, survival, and angiogenesis [57, 58].”
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“While the exact mechanisms that activate this pathway in NB are not yet clear, evidence suggests that ALK mutations might be the answer in certain NBs, as well as some tyrosine kinase receptors and their ligands [55,56].”
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“3 ) , a significant signaling molecule that instigates the Warburg phenomenon in cancerous cells (King et al., 2015).”
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InfluentialTargeting P-selectin blocks neuroblastoma growth
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“The phosphorylation of Gsk3b-S9 depends on PKA and PI3K/AKT/mTOR pathways [50] and the Gsk3b-S9 phosphorylation inhibits Gsk3b activity, inhibiting the degradation of β-catenin and activating the Wnt signaling [34].”
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Anti-tumor effect of AZD8055 against neuroblastoma cells in vitro and in vivo
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“The AKT protein, which is involved in the PI3K/AKT/mTOR metabolic pathway, regulates quiescence, proliferation, and cell longevity (King, Yeomanson, and Bryant 2015) and its activity was significantly reduced in PC-3 cells after treatment with BrA and BrB.”
BackgroundMicroRNAs as the critical regulators of tyrosine kinase inhibitors resistance in lung tumor cells
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A sketch of known and novel MYCN-associated miRNA networks in neuroblastoma
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“8C, are correlated with the mTOR signalling cascade, outlining the evidence for the aberrant activation of this pathway in NB (77-79).”
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“B)/mammalian target of rapamycin (mTOR) pathway, one of the most potent pro-survival pathway, is involved in NBL progression and correlated also with poor prognosis [37, 38].”
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“PI3K activation phosphorylates Akt, which localizes in the plasma membrane [21].”
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Emerging Trends in Neuroblastoma Diagnosis, Therapeutics, and Research
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HnRNP-F promotes the proliferation of bladder cancer cells mediated by PI3K/AKT/FOXO1
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“roles in various cancers in an extensive range of cellular regulatory processes, such as cell proliferation, invasion, migration and metabolism [5, 6].”
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Serban, F., Daianu, O., Tătăranu, L. G., Artene, Ş.-A., Emami, G., Georgescu, A. M., Alexandru, O., Purcaru, Ş. O., Tache, D. E., Dănciulescu, M. M., et al. (2016) · Journal of Immunoassay and Immunochemistry · doi:10.1080/15321819.2016.1209217 · Cited by 24
“One of the most fundamental cellular signaling pathways intensely studied and explored in cancer biology is the PI3K/AKT/mTOR (phosphatidylinositol 3-kinase/protein kinase-B/mammalian target of rapamycin) pathway, considered a central regulation point in growth factor receptor signaling.([16]) In tumorigenesis, PI3K/A…”
BackgroundDysbindin promotes progression of pancreatic ductal adenocarcinoma via direct activation of PI3K
Fang, C., Guo, X., Lv, X., Yin, R., Lv, X., Wang, F., Zhao, J., Bai, Q., Yao, X., & Chen, Y. (2017) · Journal of Molecular Cell Biology · doi:10.1093/jmcb/mjx043 · Cited by 24
“D ow nloaded from https://academ ic.oup.com /jm cb/article-abstract/9/6/504/4356861 by guest on 15 M arch 2020 PI3K can phosphorylate and activate AKT by recruiting AKT to the plasma membrane (King et al., 2015).”
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“Interestingly, the activation of mTORC1 itself is influenced by Ras-related GTP binding (RAG) GTPases, which are stimulated by amino acids and recruit MAPK and mTOR activators [70].”
Neurotoxicity of local anesthetics in dentistry
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“The activation of PI3K phosphorylates and activates serinethreonine protein kinase B (Akt), an enzyme for protection from apoptosis [41,42].”
BackgroundAssociation of a genetic variant in AKT1 gene with features of the metabolic syndrome
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“Protein kinase B (PKB, also known as AKT) is activated by phosphoinositide 3-kinase (PI3K) via phosphorylation.(10) Protein kinase B plays an important role in several cell processes, that include: regulation of metabolism, cell survival, motility, transcription and cellcycle progression.”
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“This new drug class potently inhibits both mTOR complexes and consequently may prevent AKT feedback activation [32].”
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“Since the phosphorylation of Gsk3β-S9 was reported to depend on the PKA and PI3K/AKT/mTOR pathways [50], we examined the effects of various inhibitors for adenosine receptors (ZM241385 and PBS603), MAP kinases (KH7, H89, LY294002), and IWR-1 on Wnt reporter activities.”
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“PI3K activate a lot of downstream effectors including plasma membrane localized protein kinase B (Akt) (King et al., 2015).”
Metadata
- Authors
- King, D., Yeomanson, D., & Bryant, H. E.
- Affiliations
- Sheffield Children's Hospital (GB)
- Venue
- Journal of Pediatric Hematology/Oncology
- Published
- 2015-05
- Volume
- 37
- Issue
- 4
- Pages
- 245-251
- ISSN
- 1077-4114 (ISSN-L)
- OpenAlex
- W1974245465
- Cited by
- 248
- References
- 52
- Citations by year
- 2026: 10 · 2025: 19 · 2024: 31 · 2023: 24 · 2022: 26 · 2021: 29 · 2020: 29 · 2019: 25 · 2018: 22 · 2017: 22 · 2016: 11
- FWCI
- 2.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Pediatric Hematology/Oncology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Neuroblastoma Research and Treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › PI3K/AKT/mTOR signaling in cancer
- Health Sciences › Medicine › Clinical Neurology › Neurofibromatosis and Schwannoma Cases
- Keywords
- neuroblastoma, PI3K/AKT/mTOR pathway, high-risk neuroblastoma, PI3K inhibitors, AKT inhibitors, mTOR inhibitors, targeted therapy, childhood cancer
- MeSH terms
- Mechanistic Target of Rapamycin Complex 1, Mechanistic Target of Rapamycin Complex 2, Phosphoinositide-3 Kinase Inhibitors, Animals, Humans, Neuroblastoma, Signal Transduction, Phosphatidylinositol 3-Kinases, Multiprotein Complexes, Protein Kinase Inhibitors, Proto-Oncogene Proteins c-akt, TOR Serine-Threonine Kinases
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