A clearer picture is now emerging
about the importance of the phosphatidylinositol 3 kinase (PI3K)
pathway to breast cancer development, says Gordon Mills, M.D., Ph.D., a
professor and chair of the Department of Molecular Therapeutics. This
pathway, which is linked to critical growth factor receptors and is
involved in programmed cell death, is aberrant at multiple levels in
breast cancer, including mutations in PI3K itself or its many
“downstream?players, such as PTEN, or AKT.
“There is a lot of crosstalk between the PI3K pathway and other
pathways, a lot of feed-forward and feedback loops,?says Mills. “But I
and others believe there are central nodes between these intersecting
circles that can be effectively targeted with drugs.?Only one PI3K pathway inhibitor is in use to date, but others are
increasingly being developed and tested, says Mills, who is discussing
the importance of this pathway at the annual San Antonio Breast Cancer
Symposium meeting. “At least 20 different companies have recognized the
importance of the pathway in breast cancer and are trying to develop
drugs that target it.?In the future, breast cancer tissue samples from
newly diagnosed patients can be tested for their specific PI3K pathway
abnormality in order to find a drug that zeroes in on what may be the
cancer’s Achilles?heel, Mills says. “Using those drugs in combination
with other treatments such as chemotherapy may significantly advance
breast cancer care,?he says.
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