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Updated: May 29, 2026

Molecular and Immunologic Techniques in a Genetically Engineered Mouse Model of Gastrointestinal Stromal Tumor
Published on: May 2, 2022
Differential activation of MAPK and PI3K/AKT/mTOR pathways and IGF1R expression in gastrointestinal stromal tumors
M J Ríos-Moreno1, S Jaramillo, M Díaz-Delgado
1Department of Pathology, University Hospital Virgen Macarena, Seville, Spain.
Aim:
To characterize the differentially-activated mitogen-activated protein kinase (MAPK) and phosphatidylinositol 3-kinase (PI3K/Akt/mTOR) pathways in mutant (m) and wild-type (wt) GISTs and to investigate the role of insulin-like growth factor 1 receptor (IGF1R) expression.
Materials And Methods:
Ninety-nine paraffin-embedded gastrointestinal stromal tumors (GISTs) were selected. CD117, IGF1R, phospho-ERK1/2, phospho-Akt, p70S6, eukaryotic initiation factor 4E-binding protein-1 (4EBP1) and pS6 expression were investigated using immunohistochemical methods. KIT exons 9, 11, 13 and 17 and platelet derived growth factor receptor alpha (PDGFRA) exons 12 and 18 were amplified by PCR and sequenced.
Results:
Significant differences were found in the expression of phospho-ERK1/2 between mGISTs and wtGISTs. Complex evaluation of all PI3K/Akt/mTOR pathway markers revealed greater activation in mGISTs, particularly in PDGFRA-mutated GISTs. No significant correlation was observed between IGF1R expression and either mutational status or pathway activation.
Conclusion:
There appears to be no MAPK pathway activation in wtGISTs. Tumors harboring PDGFRA mutations tended to use the PI3K/Akt/mTOR signaling pathway. Most adult GISTs, irrespective of mutational status, displayed no IGFR1 expression; tumors positive for IGFR1 showed no preferential activation of the MAPK or AKT pathways.
Insights
Mitogen-activated protein kinase (MAPK) and phosphatidylinositol 3-kinase (PI3K/Akt/mTOR) pathways differ between mutant and wild-type gastrointestinal stromal tumors (GISTs). PDGFRA-mutated GISTs showed increased PI3K/Akt/mTOR pathway activation, while IGF1R expression was not correlated with pathway activation.
Area of Science:
- Oncology
- Molecular Biology
- Gastrointestinal Pathology
Background:
- Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the gastrointestinal tract.
- Understanding the molecular pathways involved in GIST pathogenesis is crucial for targeted therapy development.
- Mitogen-activated protein kinase (MAPK) and phosphatidylinositol 3-kinase (PI3K/Akt/mTOR) signaling pathways are frequently dysregulated in various cancers, including GISTs.
Purpose of the Study:
- To delineate the differential activation of MAPK and PI3K/Akt/mTOR pathways in mutant (m) versus wild-type (wt) GISTs.
- To investigate the potential role of insulin-like growth factor 1 receptor (IGF1R) expression in GIST signaling.
- To correlate pathway activation with specific GIST mutational status.
Main Methods:
- Immunohistochemical analysis of 99 GIST samples for key pathway markers (phospho-ERK1/2, phospho-Akt, p70S6, 4EBP1, pS6) and IGF1R.
- Mutation analysis of KIT and PDGFRA genes using PCR and sequencing.
- Comparative analysis of pathway marker expression between mutant and wild-type GISTs.
Main Results:
- Significant differences in phospho-ERK1/2 expression were observed between mGISTs and wtGISTs.
- Overall, the PI3K/Akt/mTOR pathway exhibited greater activation in mGISTs, particularly those with PDGFRA mutations.
- No significant correlation was found between IGF1R expression and GIST mutational status or pathway activation.
Conclusions:
- MAPK pathway activation appears absent in wild-type GISTs.
- GISTs with PDGFRA mutations show a tendency towards PI3K/Akt/mTOR pathway utilization.
- IGF1R expression is generally low in adult GISTs and does not correlate with MAPK or AKT pathway activation.
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