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PI3K/Akt pathway mutations in retinoblastoma
Yoram Cohen1, Efrat Merhavi-Shoham, Bat Chen R Avraham-Lubin
1Department of Gynecology, Sheba Medical Center, Tel Hashomer, Israel.
Purpose:
Many malignancies are known to be associated with abnormal activation of the PI3K-AKT pathway. Recently, a somatic mutation in the AKT1 gene (E17K) was identified in a small proportion of human tumors. This mutation activated AKT1 by means of abnormal membrane recruitment and stimulated downstream signaling. This study was designed to analyze AKT1 mutations in retinoblastoma and gain insights into the role PI3K-AKT pathway plays in the development of this tumor.
Methods:
Twenty-four samples of retinoblastoma from children were analyzed for mutations in the AKT1, PTEN and K-RAS genes, using a chip-based matrix-assisted laser desorption-time-of-flight (MALDI-TOF) mass spectrometer. Mutations in the PIK3CA gene were analyzed in 16 retinoblastoma samples using direct sequencing.
Results:
These results show that the mutation E17K/AKT1 was not detected in the 24 samples of retinoblastoma analyzed. K-RAS mutations were identified in two samples. There were no mutations in any of the other genes analyzed by a mass array system. On direct sequencing of 16 samples for the PIK3CA gene, one sample showed gain of function mutation in exon 9. In another sample, a genetic polymorphism of unknown significance (rs17849079) was detected in exon 20.
Conclusions:
Although the PI3K-AKT pathway is known to be dysregulated in retinoblastoma, the low frequency of oncogenic mutations in the AKT1, PIK3CA, and PTEN genes, suggests a different activating mechanism.
Insights
The AKT1 E17K mutation was not found in retinoblastoma tumors. While the PI3K-AKT pathway is dysregulated, other mechanisms likely drive retinoblastoma development.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- The PI3K-AKT pathway is frequently activated in various cancers.
- Somatic mutations in AKT1, such as E17K, can lead to abnormal pathway activation.
- Understanding pathway involvement in retinoblastoma is crucial for targeted therapies.
Purpose of the Study:
- To investigate the presence of AKT1 mutations in retinoblastoma.
- To explore the role of the PI3K-AKT pathway in retinoblastoma pathogenesis.
- To analyze mutations in related genes like PTEN, K-RAS, and PIK3CA.
Main Methods:
- Genomic DNA analysis of 24 retinoblastoma samples.
- Detection of AKT1, PTEN, and K-RAS mutations using MALDI-TOF mass spectrometry.
- Direct sequencing of the PIK3CA gene in 16 samples.
Main Results:
- No AKT1 E17K mutations were detected in the analyzed retinoblastoma samples.
- K-RAS mutations were found in two samples; no other mutations were identified by mass array.
- A gain-of-function mutation in PIK3CA exon 9 was observed in one sample; a polymorphism in exon 20 was found in another.
Conclusions:
- The AKT1 E17K mutation is not a common driver in retinoblastoma.
- Low frequencies of mutations in AKT1, PIK3CA, and PTEN suggest alternative mechanisms for PI3K-AKT pathway dysregulation in retinoblastoma.
- Further research is needed to elucidate the precise activating mechanisms in this malignancy.
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