Curr Top Med Chem. 2020 Feb 23.
Cancer is a devastating disease that has plagued humans from ancient times to this day. After decades of slow research progress, promising drug development, and the identification of new targets, the war on cancer was launched in 1972. The P13K/Akt pathway is a growth-regulating cellular signaling pathway, which in many human cancers is over-activated. Studies have demonstrated that a decrease in Akt phosphorylation by Akt inhibitors is associated with a reduction in tumor cell proliferation. There have been several promising drug candidates that have been studied, including but not limited to ipatasertib (RG7440), 1; afuresertib (GSK2110183), 2; uprosertib (GSK2141795), 3; capivasertib (AZD5363), 4; which reportedly bind to the ATP active site and inhibit Akt activity, thus exerting cytotoxic and antiproliferative activities against human cancer cells. For most of the Akt inhibitors listed, preclinical data reveals robust mechanistic rationales evaluating their effects in various cancer types with hyperactivated Akt signaling. Allosteric inhibitors are also known to alter the activity of kinases. Perifosine (KRX-0401), 5, an alkylphospholipid, is known as the first allosteric Akt inhibitor to enter clinical development and is mechanistically characterized as a PH-domain dependent inhibitor, non-competitive with ATP. This results in a reduction in Akt enzymatic and cellular activities. Other small molecule (MK-2206, 6, PHT-427, Akti-1/2) inhibitors with a similar mechanism of action, alter Akt activity through the suppression of cell growth mediated by inhibition of Akt membrane localization and subsequent activation. The natural product solenopsin has been identified as a downstream inhibitor of Akt. A few promising solenopsin derivatives have emerged through pharmacophore modeling, energy-based calculations, and property predictions.
Keywords: ATP inhibitors; Afuresertib (GSK2110183); Akt activation; Akt binding site; Akt inhibitors; Akt kinase; Cancer; Capivasertib (AZD5363); Computational chemistry; Computer-assisted drug design; Drug design; Molecular modeling; P13K/Akt pathway; PKB; Perifosine (KRX-0401); Pharmacophore; Phosphorylation; Solenopsin; Solenopsin analogues.; Uprosertib (GSK2141795); to Ipatasertib (RG7440)