Related Experiment Video
Updated: Jul 6, 2026

A Patient-Derived Xenograft Model for Venous Malformation
Published on: June 15, 2020
Mammalian target of rapamycin (mTOR) is activated in cutaneous vascular malformations in vivo
Farheen Shirazi1, Cynthia Cohen, Levi Fried
1Department of Dermatology, Emory University School of Medicine, Atlanta, GA 30322, USA.
Background:
Vascular malformation signaling pathways are the least understood out of all cutaneous endothelial lesions. The overexpression of Akt is known to cause vascular malformations in endothelial cells of mice. Since there are no Akt inhibitors approved for clinical use, we examined phosphorylated S6 expression, a downstream target of Akt. Phosphorylated S6 indicates potential sensitivity to rapamycin.
Methods And Results:
Immunohistochemistry for phospho-s6k against phospho-S6 ribosomal protein was performed on specimens of vascular malformations taken from Sturge- Weber patients. Of the specimens, 70.8% were immunopositive for phospho-s6k.
Conclusion:
Endothelial expression of Akt is responsible for tumor responsiveness to rapamycin. We demonstrate that expression of phosphorylated S6 is elevated in specimens. Our findings provide a rationale for clinical trials of rapamycin on Sturge-Weber or Klippel-Trenaunay-Weber patients.
Insights
Vascular malformations, often linked to Akt signaling, show elevated phosphorylated S6. This suggests potential treatment with rapamycin for conditions like Sturge-Weber syndrome.
Area of Science:
- Dermatology
- Molecular Biology
- Oncology
Background:
- Vascular malformation signaling pathways remain poorly understood.
- Akt overexpression in endothelial cells is implicated in vascular malformations.
- No Akt inhibitors are currently approved for clinical use.
Purpose of the Study:
- To investigate phosphorylated S6 ribosomal protein as a downstream marker of Akt activity in vascular malformations.
- To assess the potential of rapamycin as a therapeutic agent for vascular malformations.
Main Methods:
- Immunohistochemistry was performed on vascular malformation specimens from Sturge-Weber patients.
- Expression of phosphorylated S6 ribosomal protein (phospho-S6k) was analyzed.
Main Results:
- 70.8% of vascular malformation specimens showed immunopositivity for phospho-S6k.
- Elevated phospho-S6 expression indicates potential sensitivity to rapamycin.
Conclusions:
- Endothelial Akt signaling influences tumor response to rapamycin.
- Elevated phosphorylated S6 expression in vascular malformations supports rapamycin therapy.
- Findings provide a rationale for rapamycin clinical trials in Sturge-Weber and Klippel-Trenaunay-Weber patients.
Related Concept Videos
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
PI3K/mTOR/AKT Signaling Pathway
MAPK Signaling Cascades
Regulation of Angiogenesis and Blood Supply
Abnormal Proliferation
