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Updated: Feb 10, 2026

Optimization of Breast Biopsy and Mastectomy Sample Collection Procedures for Biobanking, Personalized Medicine, and Research Applications
Published on: September 2, 2025
Functional analysis of non-hotspot AKT1 mutants found in human breast cancers identifies novel driver mutations:
Kyung H Yi1, Jossette Axtmayer, John P Gustin
1The Sidney Kimmel Comprehensive Cancer Center, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Abstract:
The phosphatidylinositol 3-kinase (PI3-kinase)-Akt-mTOR pathway is mutated at high frequency in human breast cancer, and this pathway is the focus of active drug discovery and clinical investigation. Trials of personalized cancer therapy seek to leverage knowledge of cancer gene mutations by using mutations to guide the choice of targeted therapies. At the same time, cancer genome sequencing studies are identifying low frequency variants of unknown significance in known cancer genes, as well as genes of unknown function. We have performed functional analysis of six non-hotspot AKT1 pleckstrin homology domain mutants identified in recent large-scale breast cancer sequencing studies. Three of these mutants cause constitutive activation of Akt1 in the absence of growth factors, leading to phosphorylation of downstream target proteins. Like the hotspot E17K mutation, these mutants confer constitutive membrane localization of Akt1. Finally, the same three mutants showed oncogenic activity in a cellular transformation assay. The other three mutants were inactive in all assays. These findings validate novel driver mutations in AKT1, and extend the number and type of mutations that activate the PI3-kinase pathway in human breast cancers.
Insights
New AKT1 gene mutations driving breast cancer were identified. Three novel mutations constitutively activate the PI3-kinase-Akt-mTOR pathway, promoting tumor growth and validating new therapeutic targets.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- The phosphatidylinositol 3-kinase (PI3-kinase)-Akt-mTOR pathway is frequently altered in breast cancer and is a target for drug development.
- Personalized cancer therapies aim to use genetic mutations to guide treatment selection.
- Large-scale sequencing studies are uncovering new genetic variants in cancer genes, including those with unknown significance.
Purpose of the Study:
- To functionally analyze six non-hotspot AKT1 pleckstrin homology domain mutants found in breast cancer.
- To determine if these novel AKT1 mutants activate the PI3-kinase pathway and contribute to oncogenesis.
Main Methods:
- Functional assays were used to assess Akt1 activation in the absence of growth factors.
- Analysis included examining downstream target phosphorylation and Akt1 membrane localization.
- Cellular transformation assays were performed to evaluate oncogenic potential.
Main Results:
- Three of the six AKT1 mutants demonstrated constitutive activation of Akt1.
- These active mutants led to downstream protein phosphorylation and constitutive membrane localization, similar to the known E17K mutation.
- The same three mutants exhibited oncogenic activity in cellular transformation assays, while the other three were inactive.
Conclusions:
- These findings validate novel driver mutations in the AKT1 gene.
- The study expands the known repertoire of mutations that activate the PI3-kinase pathway in human breast cancers.
- This work supports the identification of new therapeutic targets for breast cancer treatment.
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