PI3K/AKT/mTOR Signaling Network in Human Health and Diseases, 3rd Edition

A special issue of Cells (ISSN 2073-4409).

Deadline for manuscript submissions: 20 October 2026 | Viewed by 779

Special Issue Editors


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Guest Editor
School of Basic Pharmaceutical and Toxicological Sciences, College of Pharmacy, University of Louisiana at Monroe, 1800 Bienville Drive, Monroe, LA 71201, USA
Interests: skin health and diseases; carcinogenesis; inflammation; dermatology; psoriasis; atopic dermatitis; bioactive natural products; antioxidants; polyphenols; flavonoids; tissue engineering; signaling pathways; pharmacology
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
School of Basic Pharmaceutical and Toxicological Sciences, College of Pharmacy, University of Louisiana at Monroe, 1800 Bienville Drive, Monroe, LA 71201, USA
Interests: skin health and diseases; carcinogenesis; inflammation; dermatology; psoriasis; atopic dermatitis; bioactive natural products; antioxidants; polyphenols; flavonoids; tissue engineering; signaling pathways; pharmacology
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
Department of Biochemistry and Molecular Biology, Louisiana State University Health Sciences Center, 1501 Kings Highway, Shreveport, LA 71130-3932, USA
Interests: mTOR; cell signaling; cell motility; natural products; cadmium; mammalian target of rapamycin complex 2; protein-serine-threonine kinases
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

We are happy to announce the third edition of “PI3K/AKT/mTOR Signaling Network in Human Health and Diseases”. The first edition resulted in 15 published papers, and the second edition resulted in 8 published papers.

The phosphoinositide 3-kinase (PI3K)/AKT/mammalian target of the rapamycin (mTOR) signaling pathway plays a critical role in regulating cell growth, proliferation, survival, motility, differentiation, angiogenesis, and metabolism. Over the last two decades, major advances have been made in our molecular understanding of the role of PI3K/AKT/mTOR signaling in physiological processes, and we have discovered the complexity of the events mediated by this network, with the highly conserved mTOR complex (mTORC) as a central point of integration. In addition, increasing evidence suggests that PI3K/AKT/mTOR signaling is frequently dysregulated in diverse human pathologies, including malignant, neurodegenerative, autoimmune, cardiovascular, and metabolic diseases. Thus, therapeutic strategies with different rationales have been explored that target components of this signaling axis, as well as associated pathways that benefit patients in various clinical settings.

Rapalogs (e.g., temsirolimus and everolimus), which are first-generation mTOR inhibitors (mTORC1 inhibitors), have been used to treat advanced renal carcinoma and other tumors. Recently, second-generation mTOR inhibitors, called TOR kinase inhibitors (TORKIs), which compete with ATP within the catalytic site of mTOR and inhibit both mTORC1 and mTORC2, have undergone preclinical and clinical evaluation. These TORKIs are more potent than rapalogs in various preclinical cancer models, but show severe adverse effects in patients. In addition, several AKT and PI3K inhibitors have also been developed. In combination with PI3K or mTOR inhibitors, AKT inhibitors have shown promising preclinical results in several malignancies and other diseases. However, none of them have been approved by the U.S. FDA for treating human diseases.

Therefore, there is a dire need to advance the investigation of PI3K/AKT/mTOR signaling in human pathologies to develop novel therapies with high efficacy and low toxicity. This series of Special Issues, entitled “PI3K/AKT/mTOR Signaling Network in Human Health and Diseases, 3rd Edition”, aim to present a collection of articles related to the PI3K/AKT/mTOR signaling pathway in human health and diseases, including but not limited to cancer, aging, neurodegenerative disorders, inflammation, autoimmune diseases, obesity, and diabetes. Emphasis will be given to the molecular facets of PI3K/AKT/mTOR in specific diseases. Original research and review articles are welcome.

Dr. Jean Christopher Chamcheu
Dr. Claudia Bürger
Prof. Dr. Shile Huang
Guest Editors

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Keywords

  • acne
  • ageing
  • Akt
  • Alzheimer’s disease
  • autophagy
  • autoimmunity
  • PI3K
  • mTOR
  • cancer
  • cardiovascular diseases
  • diabetes
  • growth
  • hamartoma
  • hypertrophy
  • inflammation
  • neurologic
  • tuberous sclerosis
  • systemic sclerosis
  • obesity
  • Parkinson’s disease
  • psoriasis
  • atopic dermatitis
  • burns/wound healing
  • targeted therapy
  • natural products
  • biologics

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Published Papers (1 paper)

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13 pages, 3366 KB  
Systematic Review
Alpelisib in PIK3CA-Related Overgrowth Spectrum (PROS): A Systematic Review of Real-World Evidence in over 100 Patients
by Francesco Pellegrino, Giuseppe Reynolds, Simona Cardaropoli, Maria Luca, Stefania Massuras, Diana Carli and Alessandro Mussa
Cells 2026, 15(9), 788; https://doi.org/10.3390/cells15090788 - 27 Apr 2026
Viewed by 283
Abstract
Background: PIK3CA-related overgrowth spectrum (PROS) comprises a heterogeneous group of mosaic disorders caused by activating variants in the PIK3CA gene, resulting in dysregulation of the PI3K/AKT/mTOR signaling pathway and abnormal tissue overgrowth. Targeted inhibition of this pathway has recently emerged as [...] Read more.
Background: PIK3CA-related overgrowth spectrum (PROS) comprises a heterogeneous group of mosaic disorders caused by activating variants in the PIK3CA gene, resulting in dysregulation of the PI3K/AKT/mTOR signaling pathway and abnormal tissue overgrowth. Targeted inhibition of this pathway has recently emerged as a promising therapeutic strategy. Methods: We conducted a literature review to identify published reports describing patients with PROS treated with alpelisib, a selective inhibitor of the p110α catalytic subunit of PI3K. Data regarding patient characteristics, genetic variants, treatment regimens, clinical outcomes, radiological response, and adverse events were extracted and analyzed. Results: Seventeen publications met the inclusion criteria, comprising a total of 114 patients treated with alpelisib. The majority of patients were pediatric (68.4%), with a median age at treatment initiation of 12 years. Clinical manifestations were heterogeneous and included segmental overgrowth, vascular malformations, and soft-tissue hypertrophy. Clinical improvement in at least one disease manifestation was reported in 111 patients (97.3%). Radiological response, defined as reduction ≥20% in lesion volume, was documented in 26 of 60 evaluable cases (47.3%). Adverse events were reported in 64 patients (56.1%) and were generally mild and manageable, with hyperglycemia and diarrhea being the most common. Conclusions: Available real-world evidence suggests that alpelisib provides meaningful clinical benefit across multiple PROS phenotypes, with an acceptable safety profile. However, current data remain limited by small cohort sizes, heterogeneous outcome reporting, and variable follow-up duration. Prospective studies with standardized outcome measures are needed to better define long-term efficacy and safety of PI3K inhibition in PROS. Full article
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