Activation of PI3K/AKT/mTOR Pathway Causes Drug Resistance in Breast Cancer

Although chemotherapy, targeted therapy and endocrine therapy decrease rate of disease recurrence in most breast cancer patients, many patients exhibit acquired resistance. Hyperactivation of the PI3K/AKT/mTOR pathway is associated with drug resistance and cancer progression. Currently, a number of...

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Main Authors: Chao Dong, Jiao Wu, Yin Chen, Jianyun Nie, Ceshi Chen
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-03-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2021.628690/full
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author Chao Dong
Jiao Wu
Yin Chen
Jianyun Nie
Ceshi Chen
Ceshi Chen
author_facet Chao Dong
Jiao Wu
Yin Chen
Jianyun Nie
Ceshi Chen
Ceshi Chen
author_sort Chao Dong
collection DOAJ
description Although chemotherapy, targeted therapy and endocrine therapy decrease rate of disease recurrence in most breast cancer patients, many patients exhibit acquired resistance. Hyperactivation of the PI3K/AKT/mTOR pathway is associated with drug resistance and cancer progression. Currently, a number of drugs targeting PI3K/AKT/mTOR are being investigated in clinical trials by combining them with standard therapies to overcome acquired resistance in breast cancer. In this review, we summarize the critical role of the PI3K/AKT/mTOR pathway in drug resistance, the development of PI3K/AKT/mTOR inhibitors, and strategies to overcome acquired resistance to standard therapies in breast cancer.
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spelling doaj.art-6baa08c2acad4f48b521ea0924c6e66e2022-12-21T19:42:02ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122021-03-011210.3389/fphar.2021.628690628690Activation of PI3K/AKT/mTOR Pathway Causes Drug Resistance in Breast CancerChao Dong0Jiao Wu1Yin Chen2Jianyun Nie3Ceshi Chen4Ceshi Chen5Department of the Second Medical Oncology, The 3rd Affiliated Hospital of Kunming Medical University, Yunnan Tumor Hospital, Kunming, ChinaDepartment of the Second Medical Oncology, The 3rd Affiliated Hospital of Kunming Medical University, Yunnan Tumor Hospital, Kunming, ChinaDepartment of Urology, Changhai Hospital, Navy Medical University, Shanghai, ChinaDepartment of the Third Breast Surgery, The 3rd Affiliated Hospital of Kunming Medical University, Yunnan Tumor Hospital, Kunming, ChinaKey Laboratory of Animal Models and Human Disease Mechanisms of Chinese Academy of Sciences and Yunnan Province, Kunming Institute of Zoology, Chinese Academy of Sciences, Kunming, ChinaKIZ-CUHK Joint Laboratory of Bioresources and Molecular Research in Common Diseases, Kunming Institute of Zoology, Chinese Academy of Sciences, Kunming, ChinaAlthough chemotherapy, targeted therapy and endocrine therapy decrease rate of disease recurrence in most breast cancer patients, many patients exhibit acquired resistance. Hyperactivation of the PI3K/AKT/mTOR pathway is associated with drug resistance and cancer progression. Currently, a number of drugs targeting PI3K/AKT/mTOR are being investigated in clinical trials by combining them with standard therapies to overcome acquired resistance in breast cancer. In this review, we summarize the critical role of the PI3K/AKT/mTOR pathway in drug resistance, the development of PI3K/AKT/mTOR inhibitors, and strategies to overcome acquired resistance to standard therapies in breast cancer.https://www.frontiersin.org/articles/10.3389/fphar.2021.628690/fullchemotherapytargeted therapyendocrine therapydrug resistancePI3K
spellingShingle Chao Dong
Jiao Wu
Yin Chen
Jianyun Nie
Ceshi Chen
Ceshi Chen
Activation of PI3K/AKT/mTOR Pathway Causes Drug Resistance in Breast Cancer
Frontiers in Pharmacology
chemotherapy
targeted therapy
endocrine therapy
drug resistance
PI3K
title Activation of PI3K/AKT/mTOR Pathway Causes Drug Resistance in Breast Cancer
title_full Activation of PI3K/AKT/mTOR Pathway Causes Drug Resistance in Breast Cancer
title_fullStr Activation of PI3K/AKT/mTOR Pathway Causes Drug Resistance in Breast Cancer
title_full_unstemmed Activation of PI3K/AKT/mTOR Pathway Causes Drug Resistance in Breast Cancer
title_short Activation of PI3K/AKT/mTOR Pathway Causes Drug Resistance in Breast Cancer
title_sort activation of pi3k akt mtor pathway causes drug resistance in breast cancer
topic chemotherapy
targeted therapy
endocrine therapy
drug resistance
PI3K
url https://www.frontiersin.org/articles/10.3389/fphar.2021.628690/full
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