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Updated: May 10, 2026

Intracellular Phosphoflow Cytometry of Acute Myeloid Leukemia Patient-Derived Xenotransplants
Published on: June 6, 2025
AKT is a therapeutic target in myeloproliferative neoplasms
Abstract:
The majority of patients with BCR-ABL1-negative myeloproliferative neoplasms (MPN) harbor mutations in JAK2 or MPL, which lead to constitutive activation of the JAK/STAT, PI3K and ERK signaling pathways. JAK inhibitors by themselves are inadequate in producing selective clonal suppression in MPN and are associated with hematopoietic toxicities. MK-2206 is a potent allosteric AKT inhibitor that was well tolerated, including no evidence of myelosuppression, in a phase I study of solid tumors. Herein, we show that inhibition of PI3K/AKT signaling by MK-2206 affected the growth of both JAK2V617F- or MPLW515L-expressing cells via reduced phosphorylation of AKT and inhibition of its downstream signaling molecules. Moreover, we demonstrate that MK-2206 synergizes with ruxolitinib in suppressing the growth of JAK2V617F-mutant SET2 cells. Importantly, MK-2206 suppressed colony formation from hematopoietic progenitor cells in patients with primary myelofibrosis and alleviated hepatosplenomegaly and reduced megakaryocyte burden in the bone marrows, livers and spleens of mice with MPLW515L-induced MPN. Together, these findings establish AKT as a rational therapeutic target in the MPNs.
Insights
The AKT inhibitor MK-2206 shows promise for treating myeloproliferative neoplasms (MPNs). It effectively suppresses cancer cell growth, synergizes with existing therapies, and alleviates disease symptoms in preclinical models.
Area of Science:
- Hematology
- Oncology
- Molecular Biology
Background:
- Most BCR-ABL1-negative myeloproliferative neoplasms (MPNs) involve JAK2 or MPL mutations, leading to overactive JAK/STAT, PI3K, and ERK pathways.
- Current JAK inhibitors are insufficient for clonal suppression in MPNs and can cause hematologic toxicities.
Purpose of the Study:
- To investigate the efficacy of the AKT inhibitor MK-2206 as a therapeutic strategy for MPNs.
- To determine if MK-2206 can synergize with ruxolitinib and impact disease progression in preclinical MPN models.
Main Methods:
- Assessed the effect of MK-2206 on JAK2V617F- or MPLW515L-expressing cells.
- Evaluated the synergistic effect of MK-2206 with ruxolitinib in JAK2V617F-mutant cells.
- Examined MK-2206's impact on hematopoietic progenitor cells from primary myelofibrosis patients and in a mouse model of MPLW515L-induced MPN.
Main Results:
- MK-2206 inhibited AKT signaling and affected the growth of cells with JAK2V617F or MPLW515L mutations.
- MK-2206 demonstrated synergy with ruxolitinib in suppressing JAK2V617F-mutant cells.
- MK-2206 suppressed colony formation in primary myelofibrosis patients and reduced MPN-related symptoms in a mouse model.
Conclusions:
- The PI3K/AKT pathway is a viable therapeutic target in MPNs.
- MK-2206 shows potential as a treatment for MPNs, both as a monotherapy and in combination with other agents.
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