Evidence map›Paper›PMID 32932888›Full record

ReviewJournal of clinical medicine2020

Targeting PI3K/Akt/mTOR in AML: Rationale and Clinical Evidence.

Salihanur Darici, Hazem Alkhaldi, Gillian Horne, Heather G Jørgensen, Sandra Marmiroli, Xu Huang

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed
5.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

78 citing papers in PubMed, 120 citations in OpenAlex.

  1. Article
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  12. NaCells · 2025
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  16. Cancers · 2025
    Article
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  18. diffGEK: differential gene expression kinetics.Bioinformatics (Oxford, England) · 2025
    Article
  19. Article
  20. Article

18 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Salihanur DariciHaemato-Oncology/Systems Medicine Group, Paul O'Gorman Leukaemia Research Centre, University of Glasgow, Glasgow G12 0ZD, UK.
Hazem AlkhaldiHaemato-Oncology/Systems Medicine Group, Paul O'Gorman Leukaemia Research Centre, University of Glasgow, Glasgow G12 0ZD, UK.
Gillian HorneHaemato-Oncology/Systems Medicine Group, Paul O'Gorman Leukaemia Research Centre, University of Glasgow, Glasgow G12 0ZD, UK.
Heather G JørgensenHaemato-Oncology/Systems Medicine Group, Paul O'Gorman Leukaemia Research Centre, University of Glasgow, Glasgow G12 0ZD, UK.ORCID 0000-0003-4663-4191
Sandra MarmiroliDepartment of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, 41124 Modena, Italy.
Xu HuangHaemato-Oncology/Systems Medicine Group, Paul O'Gorman Leukaemia Research Centre, University of Glasgow, Glasgow G12 0ZD, UK.ORCID 0000-0001-6706-199X
Blood Cancer UK · GBUniversity of Modena and Reggio Emilia · IT

Funding

AIRCRAFT 19186Leukaemia UK 2016/JGF/0005the Howat Foundation and Friends of Paul O'Gorman SC040922the Wellcome Trust 105614/Z/14/Z
6 · The paper itself

Abstract

Acute myeloid leukemia (AML) is a highly heterogeneous hematopoietic malignancy characterized by excessive proliferation and accumulation of immature myeloid blasts in the bone marrow. AML has a very poor 5-year survival rate of just 16% in the UK; hence, more efficacious, tolerable, and targeted therapy is required. Persistent leukemia stem cell (LSC) populations underlie patient relapse and development of resistance to therapy. Identification of critical oncogenic signaling pathways in AML LSC may provide new avenues for novel therapeutic strategies. The phosphatidylinositol-3-kinase (PI3K)/Akt and the mammalian target of rapamycin (mTOR) signaling pathway, is often hyperactivated in AML, required to sustain the oncogenic potential of LSCs. Growing evidence suggests that targeting key components of this pathway may represent an effective treatment to kill AML LSCs. Despite this, accruing significant body of scientific knowledge, PI3K/Akt/mTOR inhibitors have not translated into clinical practice. In this article, we review the laboratory-based evidence of the critical role of PI3K/Akt/mTOR pathway in AML, and outcomes from current clinical studies using PI3K/Akt/mTOR inhibitors. Based on these results, we discuss the putative mechanisms of resistance to PI3K/Akt/mTOR inhibition, offering rationale for potential candidate combination therapies incorporating PI3K/Akt/mTOR inhibitors for precision medicine in AML.

Indexed as

AMLcombination treatment strategydrug resistanceLSCmTORPI3K/Akttargeted therapy

Identifiers

PMID32932888
PMCPMC7563273
OpenAlexW3086454262

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.