2009
DOI: 10.1007/s10689-009-9293-1
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Frequent alterations of the PI3K/AKT/mTOR pathways in hereditary nonpolyposis colorectal cancer

Abstract: The phosphatidylinositol 3-kinases-AKT-mammalian target of rapamycin pathway (PI3K/AKT/mTOR) is central in colorectal tumors. Data on its role in hereditary cancers are, however, scarce and we therefore characterized mutations in PIK3CA and KRAS, and expression of PIK3CA, phosphorylated AKT, and PTEN in colorectal cancers linked to hereditary nonpolyposis colorectal cancer (HNPCC). Sequencing was used to identify mutations in PIK3CA, a real-time PCR-based method to identify KRAS mutations, and immunohistochemi… Show more

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Cited by 51 publications
(36 citation statements)
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“…mTOR is a member of the PI3K/AKT/mTOR pathway, whose activation stimulates protein and lipid biosynthesis and it is constitutively activated in LS (43). The mTOR signaling pathway senses and integrates a variety of environmental cues to regulate numerous major cellular processes (44,45).…”
Section: Discussionmentioning
confidence: 99%
“…mTOR is a member of the PI3K/AKT/mTOR pathway, whose activation stimulates protein and lipid biosynthesis and it is constitutively activated in LS (43). The mTOR signaling pathway senses and integrates a variety of environmental cues to regulate numerous major cellular processes (44,45).…”
Section: Discussionmentioning
confidence: 99%
“…Preclinical studies have suggested a role for mTOR inhibitors in treatment of CRC, and this is being explored in phase I-II clinical trials with everolimus. A recent retrospective study suggested that the PI3K pathway could have a particularly high rate of derangement in hereditary nonpolyposis CRC (HNPCC), with 51 out of 58 (88%) of the analyzed tumors having alteration in at least one pathway component, raising the intriguing possibility of targeting this pathway in this small, but significant, subset of CRC (67). Finally, preclinical evidence suggests that the PI3K and MAPK pathways are strongly interlinked, and that the combination of MEK and PI3K inhibitors act synergistically to inhibit tumor cells with RAS mutations (68).…”
Section: On the Horizonmentioning
confidence: 99%
“…The PI3K/Akt/mTOR signaling axis is critical for proliferation, apoptosis resistance, angiogenesis, and metastasis and is central to the development and maintenance of CRC (16). Previous studies have reported the potential for the PI3K/Akt/mTOR network to be therapeutically targeted at multiple molecular levels (17,18). Activated PI3K generates a second messenger phosphatidylinositol(3-5)-triphosphate (PIP3); PIP3 then binds to and activates phosphoinositide-dependent kinase-1 (PDK1), which phosphorylates and activates Akt (19,20).…”
mentioning
confidence: 99%