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P-Akt expression distinguishes two types of malignant rhabdoid tumors
Aubri Charboneau1, Jingjing Chai, Jennifer Jordan
1Department of Pathology and Laboratory Medicine, University of North Carolina-Chapel Hill, Chapel Hill, North Carolina 27599, USA.
Abstract:
Highly aggressive pediatric malignant rhabdoid tumors (MRT) arise in the kidney and central nervous system (CNS) with no curative treatment available. Multiple studies have shown that inactivation of the SNF5 tumor suppressor gene occurs in virtually all MRTs. However, few studies have addressed whether additional genetic events may contribute to MRT development. In this report, we demonstrate that phosphorylated Akt (P-Akt) is expressed in a subpopulation of cells in at least 10% of primary rhabdoid tumors as well as at high levels in three MRT cell lines. Similar to other high P-Akt expressing tumor cell lines, MRTs have decreased sensitivity to p21 induced growth arrest. Therefore, P-Akt expression may distinguish between two types of MRTs. Because drugs directed against the PI3-K/Akt have shown promise in clinical trials for other tumor types, they may prove useful for treatment of patients with P-Akt positive MRTs. P-Akt expression also provides a potential mechanistic link between these pediatric tumors and adult malignancies.
Insights
Phosphorylated Akt (P-Akt) is found in some pediatric malignant rhabdoid tumors (MRTs). P-Akt may indicate a new treatment strategy for these aggressive childhood cancers.
Area of Science:
- Pediatric oncology
- Molecular biology
- Cancer genetics
Background:
- Malignant rhabdoid tumors (MRTs) are aggressive pediatric cancers affecting the kidney and CNS.
- Current treatments lack curative options for MRTs.
- SNF5 tumor suppressor gene inactivation is common in MRTs, but other genetic factors are less understood.
Purpose of the Study:
- To investigate the role of phosphorylated Akt (P-Akt) in MRT development.
- To determine if P-Akt expression correlates with tumor characteristics or treatment sensitivity.
- To explore potential therapeutic targets for P-Akt-positive MRTs.
Main Methods:
- Immunohistochemical analysis of P-Akt expression in primary MRTs and MRT cell lines.
- Assessment of P-Akt levels in relation to p21-induced growth arrest.
- Review of existing clinical trial data for PI3-K/Akt pathway inhibitors.
Main Results:
- P-Akt expression was detected in a subpopulation of cells in at least 10% of primary MRTs.
- High levels of P-Akt were observed in three MRT cell lines.
- MRTs with high P-Akt expression showed reduced sensitivity to p21-induced growth arrest.
- P-Akt expression may differentiate MRT subtypes.
Conclusions:
- P-Akt expression is a potential biomarker for a subset of MRTs.
- Targeting the PI3-K/Akt pathway with specific drugs may offer a novel treatment approach for P-Akt-positive MRTs.
- P-Akt pathway activation in MRTs suggests a link to adult malignancies.
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