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Class	
  I	
  phosphoinositide	
  3-­-kinases	
  in	
  immunity…	
  

	
  
14.	
  CONCLUDING	
  REMARKS	
  

        Research	
   in	
   recent	
   years	
   has	
   accumulated	
   evidence	
   showing	
   the	
   essential	
  
role	
   of	
   class	
   I	
   PI3K	
   and	
   their	
   molecular	
   targets	
   in	
   cancer	
   and	
   immune	
   responses,	
  
and	
   the	
   potential	
   benefits	
   of	
   PI3K	
   inhibitors	
   to	
   treat	
   neoplastic	
   and	
   autoimmune	
  
diseases.	
   The	
   therapeutic	
   potential	
   of	
   PI3K	
   inhibitors	
   in	
   cancer	
   has	
   prompted	
   the	
  
discovery	
   of	
   many	
   different	
   molecules	
   by	
   the	
   pharmaceutical	
   industry	
   whose	
  
utility	
  in	
  immune-­-based	
  diseases	
  needs	
  to	
  be	
  tested.	
  

        Many	
   of	
   the	
   newly	
   developed	
   PI3K	
   inhibitors	
   also	
   inhibit	
   other	
   molecules	
  
like	
   mTOR	
   or	
   DNA-­-PK	
   fulfilling	
   important	
   functions	
   in	
   different	
   types	
   of	
   cells,	
   so	
  
that	
   chronic	
   treatment	
   with	
   these	
   drugs	
   might	
   produce	
   deleterious	
   effects	
   on	
   the	
  
host	
   in	
   the	
   long	
   term	
   (129).	
   According	
   to	
   currently	
   available	
   data,	
   the	
   PI3K	
  
inhibitors	
   under	
   clinical	
   or	
   preclinical	
   study	
   are	
   reasonably	
   well	
   tolerated,	
   and	
  
these	
   include	
   broad	
   specificity	
   PI3K	
   inhibitors	
   or	
   dual	
   PI3K	
   and	
   mTOR	
   inhibitors	
  
(51).	
  The	
  challenge	
  now	
  is	
  to	
  determine	
  which	
  particular	
  type(s)	
  of	
  inhibitor(s)	
  are	
  
of	
  real	
  benefit	
  to	
  each	
  particular	
  disease.	
  

ACKNOWLEDGEMENTS	
  

        P.P.	
   is	
   a	
   Tenured	
   Scientist	
   of	
   the	
   Consejo	
   Superior	
   de	
   Investigaciones	
  
Científicas	
  (CSIC)	
  at	
  the	
  Centro	
  Nacional	
  de	
  Microbiología,	
  Instituto	
  de	
  Salud	
  Carlos	
  
III.	
   Supported	
   by	
   Grants	
   PI10/00650	
   and	
   PI13/02153	
   (to	
   JMR)	
   and	
   PI10/00648	
  
and	
   PI13/01809	
   (to	
   PP)	
   from	
   “Acción	
   Estratégica	
   en	
   Salud,	
   Plan	
   Estatal	
   I+D+i”,	
  
Ministerio	
  de	
  Economía	
  y	
  Competitividad	
  (MINECO),	
  Spain.	
  The	
  authors	
  apologize	
  
to	
  the	
  many	
  authors	
  whose	
  relevant	
  data	
  have	
  been	
  summarized	
  or	
  omitted	
  due	
  to	
  
space	
  constraints.	
  	
  

DISCLOSURES	
  

        The	
  authors	
  declare	
  no	
  financial	
  conflict	
  of	
  interest.	
  

REFERENCES	
  

     1.	
  Vanhaesebroeck,	
  B.;	
  Leevers,	
  S.	
  J.;	
  Ahmadi,	
  K.;	
  Timms,	
  J.;	
  Katso,	
  R.;	
  Driscoll,	
  P.	
  C.;	
  Woscholski,	
  
          R.;	
  &	
  al.	
  Synthesis	
  and	
  function	
  of	
  3-­-phosphorylated	
  Inositol	
  lipids.	
  Annu	
  Rev	
  Biochem	
  70,	
  
          535-­-602	
  (2001).	
  

     2.	
   Deane,	
   J.	
   A.;	
   &	
   Fruman,	
   D.	
   A.	
   Phosphoinositide	
   3-­-Kinase:	
   Diverse	
   roles	
   in	
   immune	
   cell	
  
          activation.	
  Annu	
  Rev	
  Immunol	
  22,	
  563-­-598	
  (2004).	
  

     3.	
   Hawkins,	
   P.	
   T.;	
   Anderson,	
   K.	
   E.;	
   Davidson,	
   K.;	
   &	
   Stephens,	
   L.	
   R.	
   Signalling	
   through	
   Class	
   I	
  
          PI3Ks	
  in	
  mammalian	
  cells.	
  Biochem	
  Soc	
  Trans	
  34,	
  647-­-662	
  (2006).	
  

     4.	
  Fruman,	
  D.,	
  A.;	
  &	
  Bismuth,	
  G.	
  Fine	
  tuning	
  the	
  immune	
  response	
  with	
  PI3K.	
  Immunol	
  Rev	
  228,	
  
          253-­-272	
  (2009).	
  

     5.	
   Vanhaesebroeck,	
   B.;	
   Guillermet-­-Guibert,	
   J.;	
   Graupera,	
   M.;	
   &	
   Bilanges,	
   B.	
   The	
   emerging	
  
          mechanisms	
  of	
  isoform-­-specific	
  PI3K	
  signalling.	
  Nat	
  Rev	
  Mol	
  Cell	
  Biol	
  11,	
  329-­-341	
  (2010).	
  

     6.	
   Lempiainen,	
   H.;	
   &	
   Halazonetis,	
   T.	
   D.	
   Emerging	
   common	
   themes	
   in	
   regulation	
   of	
   PIKKs	
   and	
  
          PI3Ks.	
  EMBO	
  J	
  28,	
  3067-­-3073	
  (2009).	
  

                                                                                                                            	
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