Targeting the PI3K/AKT signaling pathway in anticancer research : a recent update on inhibitor design and clinical trials (2020-2023)

INTRODUCTION: Recent years have witnessed great achievements in drug design and development targeting the phosphatidylinositol 3-kinase/protein kinase-B (PI3K/AKT) signaling pathway, a pathway central to cell growth and proliferation. The nearest neighbor protein-protein interaction networks for PI3K and AKT show the interplays between these target proteins which can be harnessed for drug discovery. In this review, we discuss the drug design and clinical development of inhibitors of PI3K/AKT in the past three years. We review in detail the structures, selectivity, efficacy, and combination therapy of 35 inhibitors targeting these proteins, classified based on the target proteins. Approaches to overcoming drug resistance and to minimizing toxicities are discussed. Future research directions for developing combinational therapy and PROTACs of PI3K and AKT inhibitors are also discussed.

AREA COVERED: This review covers clinical trial reports and patent literature on inhibitors of PI3K and AKT published between 2020 and 2023.

EXPERT OPINION: To address drug resistance and drug toxicity of inhibitors of PI3K and AKT, it is highly desirable to design and develop subtype-selective PI3K inhibitors or subtype-selective AKT1 inhibitors to minimize toxicity or to develop allosteric drugs that can form covalent bonds. The development of PROTACs of PI3Kα or AKT helps to reduce off-target toxicities.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:34

Enthalten in:

Expert opinion on therapeutic patents - 34(2024), 3 vom: 30. März, Seite 141-158

Sprache:

Englisch

Beteiligte Personen:

Sabbah, Dima A [VerfasserIn]
Hajjo, Rima [VerfasserIn]
Bardaweel, Sanaa K [VerfasserIn]
Zhong, Haizhen A [VerfasserIn]

Links:

Volltext

Themen:

AKT
Anticancer
Antineoplastic Agents
Combination therapy and PROTACs
Covalent drugs
EC 2.7.1.-
EC 2.7.11.1
Journal Article
PI3K
Phosphatidylinositol 3-Kinases
Phosphoinositide-3 Kinase Inhibitors
Protein Kinase Inhibitors
Proto-Oncogene Proteins c-akt
Review
Selectivity

Anmerkungen:

Date Completed 30.04.2024

Date Revised 30.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/13543776.2024.2338100

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370467825