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The Role of the PI3K-AKT Pathway in Melanoma

2012; Lippincott Williams & Wilkins; Volume: 18; Issue: 2 Linguagem: Inglês

10.1097/ppo.0b013e31824d448c

1540-336X

Michael A. Davies,

Mast cells and histamine

The PI3K (phosphatidylinositol 3-kinase)–AKT pathway is one of the most important signaling networks in cancer. There is growing evidence that activation of this pathway plays a significant role in melanoma, frequently in the setting of concurrent activation of RAS-RAF-MEK-ERK signaling. This evidence includes the identification of genetic and epigenetic events that activate this pathway in melanoma cell lines and clinical specimens. In addition, functional experiments have demonstrated important roles for the PI3K-AKT pathway in both melanoma initiation and therapeutic resistance. The availability of many inhibitors against the PI3K-AKT pathway is rapidly leading to the development of trials that will ultimately determine its clinical significance in this disease. The rational development of such therapies will be facilitated by strategies that utilize the growing understanding of the complexity of the regulation and roles of this pathway.