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Published on: March 6, 2018
E17K substitution in AKT1 in prostate cancer
J L Boormans1, H Korsten, A C J Ziel-van der Made
1Department of Urology, Erasmus University Medical Centre, 3000 CA, Rotterdam, The Netherlands. j.boormans@erasmusmc.nl
Background:
The phosphatidylinositol 3-kinase (PI3K)-AKT pathway is activated in many cancers. Mutational hotspots in AKT1 and in the regulatory and catalytic subunits of PI3K have been detected in multiple tumour types. In AKT1, the E17K substitution leads to a PI3K-independent activation of AKT1.
Methods:
A mutational profiling of AKT1 and of the mutational hotspots in PIK3CA and PIK3R1 was carried out in samples from primary and recurrent prostate tumours.
Results:
We show that, in prostate cancer, AKT1(E17K) had a prevalence of 1.4%. The mutation seemed to be associated with a favourable clinical course but it was not associated with a specific tumour growth pattern. Activating mutations in PIK3CA or PIK3R1 were not found in prostate cancer.
Conclusion:
The E17K substitution in AKT1 is rare in prostate cancer. It seems associated with a favourable clinical outcome but not with a specific histology of the tumour.
Insights
The AKT1 E17K mutation is rare in prostate cancer, occurring in 1.4% of cases. This genetic alteration appears linked to a better clinical outcome for patients.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- The phosphatidylinositol 3-kinase (PI3K)-AKT pathway plays a crucial role in cancer development.
- Mutations in AKT1, PIK3CA, and PIK3R1 are frequently observed in various cancer types.
- The AKT1 E17K substitution activates AKT1 independently of PI3K signaling.
Purpose of the Study:
- To investigate the prevalence and clinical significance of AKT1 and PI3K pathway mutations in prostate cancer.
- To determine if specific mutations in AKT1, PIK3CA, or PIK3R1 are associated with prostate tumor characteristics or clinical course.
Main Methods:
- Mutational profiling of AKT1, PIK3CA, and PIK3R1 hotspots was performed on prostate tumor samples.
- Analysis included both primary and recurrent tumor specimens.
Main Results:
- The AKT1 E17K mutation was detected in 1.4% of prostate cancer cases.
- This mutation was associated with a favorable clinical course.
- No association was found between AKT1 E17K and specific tumor growth patterns.
- Activating mutations in PIK3CA or PIK3R1 were not identified in the studied prostate cancer cohort.
Conclusions:
- The E17K substitution in AKT1 is an infrequent finding in prostate cancer.
- This mutation appears to correlate with a positive clinical outcome.
- The AKT1 E17K mutation is not linked to specific tumor histology in prostate cancer.
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