| Phosphoinositide 3-kinase in Health and Disease | 3 |
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| Volume 2 | 3 |
| Contents | 5 |
| Contributors | 7 |
| PI3K: From the Bench to the Clinic and Back | 11 |
| 1 The Discovery of the PI3K Signalling Pathway and Its Potential as a Therapeutic Target | 12 |
| 2 PI3K and Human Disease | 14 |
| 3 The Development of PI3K Inhibitors for Human Disease Starts to Inform Basic Science | 15 |
| 4 Some Outstanding Questions in PI3K Biology and Signalling | 18 |
| 5 Concluding Remarks | 20 |
| References | 21 |
| Oncogenic Mutations of PIK3CA in Human Cancers | 30 |
| 1 Introduction | 31 |
| 2 Links Between the PI3K Pathway and Cancer | 31 |
| 3 High Throughput Sequencing of Gene Families in Human Cancer | 32 |
| 4 PIK3CA is Somatically Mutated in Colorectal Cancer | 32 |
| 5 PIK3CA is Mutated in a Wide Variety of Human Tumor Types | 33 |
| 6 Somatic Mutations in the PI3K Pathway Typically Occur in a Mutually Exclusive Fashion | 40 |
| 7 Conclusion | 42 |
| References | 43 |
| Structural Effects of Oncogenic PI3Ka Mutations | 51 |
| 1 Introduction | 52 |
| 2 Description of the Structure | 53 |
| 3 Association with the Lipid Membrane | 55 |
| 4 Cancer-Specific Mutations | 56 |
| 5 Summary and Conclusions | 60 |
| References | 61 |
| Comparing the Roles of the p110a and p110beta Isoforms of PI3K in Signaling and Cancer | 62 |
| 1 Introduction | 63 |
| 2 Class IA PI3Ks | 64 |
| 3 Mechanisms of Activation of Class IA p110 Isoforms | 64 |
| 3.1 Early Studies on In Vitro p110a/beta Activation | 64 |
| 3.2 Studies on p110 Activation Using Engineered Mice | 67 |
| 3.3 Unresolved Issues | 68 |
| 4 Downstream Signaling: Acting Out Through AKT and PDK1 | 70 |
| 4.1 AKT Signaling | 70 |
| 5 PI3K Isoforms in Cancer | 71 |
| 5.1 Deregulated PI3K Pathway Components | 72 |
| 5.2 Targeting PI3K in Cancer | 73 |
| 5.3 p110a as a Viable Tumor Target | 73 |
| 5.4 p110beta as a Drug Target | 75 |
| 5.5 What Are the Take-Home Messages from p110-Isoform Knock-Out Studies In Vivo? | 76 |
| 5.6 Kinase-Independent Roles of p110-Isoforms | 76 |
| 6 Conclusions | 78 |
| References | 78 |
| Phosphatidylinositol 3-Kinase: The Oncoprotein | 85 |
| 1 Phosphatidylinositol 3-Kinases and Cancer | 86 |
| 2 Cancer-Specific Mutations in PI3K | 87 |
| 3 Several Molecular Mechanisms Can Induce a Gain of Function in p110 | 90 |
| 4 Non-alpha Isoforms of Class I PI3K in Cancer | 92 |
| 5 Class II and III PI3Ks | 94 |
| 6 PI3K-Driven Oncogenic Transformation: Mechanistic Considerations | 95 |
| 7 Conclusion | 99 |
| References | 100 |
| AKT Signaling in Physiology and Disease | 111 |
| 1 Introduction | 112 |
| 2 AKT Kinases | 113 |
| 2.1 Isoforms | 113 |
| 2.2 Domain Structure | 113 |
| 3 Mechanisms of AKT Activation | 114 |
| 3.1 PDK1-Dependent AKT Phosphorylation | 116 |
| 3.2 Hydrophobic Motif Phosphorylation | 116 |
| 3.3 Phosphorylation of Other AKT Residues | 117 |
| 4 Negative Regulation of AKT Signaling | 117 |
| 4.1 Lipid Phosphatases | 117 |
| 4.2 AKT-Specific Protein Phosphatases | 118 |
| 4.3 AKT Inhibition by Interacting Proteins | 118 |
| 4.4 Lipid Binding PH Domain-Only Proteins | 119 |
| 4.5 Feedback Regulation of AKT Signaling | 119 |
| 5 AKT Substrates | 119 |
| 6 AKT Signaling in Physiology | 121 |
| 6.1 Glucose Homeostasis and Metabolism | 121 |
| 6.2 Cell Proliferation | 122 |
| 6.3 Cell Survival | 122 |
| 6.4 Cell Migration and Invasion | 123 |
| 6.5 Cell Growth and Protein Translation | 124 |
| 6.6 Angiogenesis | 125 |
| 6.7 Apoptosis and Senescence Induction | 125 |
| 6.8 Immunity | 126 |
| 6.9 Brain Development, Neuronal Differentiation, and Function | 126 |
| 7 Roles of the AKT Signaling Pathway in Human Disease | 127 |
| 7.1 Diabetes | 127 |
| 7.2 Neurological Diseases | 128 |
| 7.3 Cancer | 128 |
| 7.3.1 Genetic Alterations in the Upstream RTK Signaling Axis | 129 |
| 7.3.2 Inactivating Mutations of PTEN | 129 |
| 7.3.3 Activating Mutations of PI3K | 129 |
| 7.3.4 Activating Mutations of AKT | 130 |
| 7.3.5 Mouse Tumor Models of AKT Activation | 130 |
| 8 AKT Independent Signaling by PI3K | 131 |
| 9 Conclusions | 132 |
| References | 132 |
| Faithfull Modeling of PTEN Loss Driven Diseases in the Mouse | 140 |
| 1 Introduction | 141 |
| 2 Spectrum of Human Diseases Associated with Loss of PTEN | 142 |
| 3 Modeling PTEN Loss in Specific Murine Organs | 143 |
| 3.1 Brain | 143 |
| 3.2 Prostate | 151 |
| 3.3 Breast | 153 |
| 4 In Vivo Deconstruction of the PI3K-AKT-mTOR Axis | 154 |
| 4.1 PI3K-PDK-AKT | 154 |
| 4.2 TSC1/2-Rheb-mTOR | 155 |
| 5 PTEN Network: Linking the PI3K Signaling Cascade to Other Oncogenic Pathways Through In Vivo Genetic Analysis | 157 |
| 5.1 PTEN-MAPK Pathway | 157 |
| 5.2 Pten and Transcriptional Regulators: Erg and Myc | 159 |
| 5.3 Pten/p53 | 160 |
| 6 Context-Dependent Differential Outcomes Triggered by Loss of PTEN | 161 |
| 7 Conclusion | 163 |
| References | 163 |
| PI3K as a Target for Therapy in Haematological Malignancies | 174 |
| 1 Introduction | 175 |
| 2 Acute Myeloid Leukaemia | 177 |
| 3 Acute Lymphoblastic Leukaemia | 179 |
| 4 Chronic Myeloid Leukaemia and BCR-ABL Positive ALL | 180 |
| 5 Chronic Lymphocytic Leukaemia | 181 |
| 6 Lymphomas | 182 |
| 6.1 Diffuse Large B Cell Lymphoma | 182 |
| 6.2 Anaplastic Large Cell Lymphoma | 183 |
| 6.3 Mantle Cell Lymphoma | 183 |
| 7 Multiple Myeloma | 183 |
| 8 Effects on Normal Immune Cells and Host Immunity | 184 |
| 9 Conclusions | 185 |
| References | 186 |
| Clinical Development of Phosphatidylinositol-3 Kinase Pathway Inhibitors | 194 |
| 1 Introduction | 195 |
| 2 Pharmacological Approaches | 195 |
| 3 Preclinical Considerations for Drug Development | 197 |
| 4 Clinical Trials | 199 |
| 5 Patient Selection and Role of Presurgical Trials | 200 |
| 6 Rationale for Combination Therapies | 203 |
| 7 Neoadjuvant Clinical Trials | 205 |
| 8 Conclusions | 206 |
| References | 207 |
| From the Bench to the Bed Side: PI3K Pathway Inhibitors in Clinical Development | 214 |
| 1 Introduction | 214 |
| 2 PI3K Inhibitors: Path to the Clinic | 216 |
| 2.1 PI3K Inhibitors in Oncology Drug Discovery and Development
|