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Updated: Jun 19, 2026

Next Generation Sequencing for the Detection of Actionable Mutations in Solid and Liquid Tumors
Published on: September 20, 2016
AKT1 mutations in bladder cancer: identification of a novel oncogenic mutation that can co-operate with E17K
J M Askham1, F Platt, P A Chambers
1Cancer Research UK Clinical Centre, Leeds Institute of Molecular Medicine, St James's University Hospital, Leeds, UK.
Abstract:
The phosphatidylinositol-3-kinase (PI3 kinase)-AKT pathway is frequently activated in cancer. Recent reports have identified a transforming mutation of AKT1 in breast, colorectal, ovarian and lung cancers. We report here the occurrence of this mutation in bladder tumours. The AKT1 G49A (E17K) mutation was found in 2/44 (4.8%) bladder cancer cell lines and 5/184 (2.7%) bladder tumours. Cell lines expressing mutant AKT1 show constitutive AKT1 activation under conditions of growth factor withdrawal. We also detected a novel AKT1 mutation G145A (E49K). This mutation also enhances AKT activation and shows transforming activity in NIH3T3 cells, though activity is weaker than that of E17K. Enhanced activation of AKT1 when E17K and E49K mutations are in tandem suggests that they can co-operate.
Insights
The AKT1 E17K mutation, known in other cancers, was found in bladder tumors. This activating mutation in AKT1 may play a role in bladder cancer development.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Genetics
Background:
- The phosphatidylinositol-3-kinase (PI3K)-AKT pathway is crucial in cancer development and is frequently activated.
- Activating mutations in AKT1 have been identified in various cancers, including breast, colorectal, ovarian, and lung cancers.
Purpose of the Study:
- To investigate the presence and role of AKT1 mutations in bladder cancer.
- To characterize a novel AKT1 mutation and its functional impact on AKT activation.
Main Methods:
- Screening of bladder cancer cell lines and tumors for AKT1 mutations.
- Functional analysis of mutant AKT1 in cell lines to assess constitutive activation.
- Evaluation of transforming activity of AKT1 mutations in NIH3T3 cells.
Main Results:
- The AKT1 G49A (E17K) mutation was identified in 2/44 bladder cancer cell lines (4.8%) and 5/184 bladder tumors (2.7%).
- Cell lines with mutant AKT1 exhibited constitutive AKT1 activation.
- A novel AKT1 mutation, G145A (E49K), was discovered, which also enhanced AKT activation and demonstrated transforming activity, albeit weaker than E17K.
- Tandem E17K and E49K mutations suggested cooperative effects on AKT1 activation.
Conclusions:
- The AKT1 E17K mutation occurs in bladder cancer, suggesting its involvement in the pathogenesis of this cancer type.
- The novel E49K mutation also contributes to AKT activation and has transforming potential.
- Co-occurring AKT1 mutations may enhance oncogenic signaling in bladder cancer.
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