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Akt Kinase-Interacting Protein 1 Signals through CREB to Drive Diffuse Malignant Mesothelioma
Tadaaki Yamada1, Joseph M Amann2, Koji Fukuda3
1Department of Internal Medicine, The Ohio State University Medical Center, Columbus, Ohio. Division of Medical Oncology, Cancer Research Institute, Kanazawa University, Kanazawa, Japan.
Abstract:
Diffuse malignant mesothelioma (DMM) is a tumor of serosal membranes with propensity for progressive local disease. Because current treatment options are largely ineffective, novel therapeutic strategies based on molecular mechanisms and the disease characteristics are needed to improve the outcomes of patients with this disease. Akt kinase interacting protein 1 (Aki1; Freud-1/CC2D1A) is a scaffold protein for the PI3K-PDK1-Akt signaling module that helps determine receptor signal selectivity for EGFR. Aki1 has been suggested as a therapeutic target, but its potential has yet to be evaluated in a tumor setting. Here, we report evidence supporting its definition as a therapeutic target in DMM. In cell-based assays, Aki1 silencing decreased cell viability and caused cell-cycle arrest of multiple DMM cell lines via effects on the PKA-CREB1 signaling pathway. Blocking CREB activity phenocopied Aki1 silencing. Clinically, Aki1 was expressed in most human DMM specimens where its expression correlated with phosphorylated CREB1. Notably, Aki1 siRNA potently blocked tumor growth in an orthotopic implantation model of DMM when administered directly into the pleural cavity of tumor-bearing mice. Our findings suggest an important role for the Aki1-CREB axis in DMM pathogenesis and provide a preclinical rationale to target Aki1 by intrathoracic therapy in locally advanced tumors.
Insights
Targeting Akt kinase interacting protein 1 (Aki1) shows promise for diffuse malignant mesothelioma (DMM). Aki1 silencing reduced DMM cell viability and tumor growth, suggesting Aki1 as a therapeutic target for this cancer.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Diffuse malignant mesothelioma (DMM) is a rare cancer of serosal membranes with poor prognosis.
- Current treatments for DMM are largely ineffective, necessitating novel therapeutic strategies.
- Akt kinase interacting protein 1 (Aki1) is implicated in signaling pathways but its role in DMM is unexplored.
Purpose of the Study:
- To investigate the therapeutic potential of targeting Aki1 in diffuse malignant mesothelioma.
- To elucidate the role of the Aki1-CREB axis in DMM pathogenesis.
- To evaluate Aki1 as a target for novel DMM therapies.
Main Methods:
- Cell-based assays were used to assess the effects of Aki1 silencing on DMM cell viability and cell-cycle progression.
- The involvement of the PKA-CREB1 signaling pathway was investigated.
- Aki1 expression was analyzed in human DMM specimens.
- A therapeutic efficacy study was conducted using an orthotopic DMM mouse model with intrathoracic administration of Aki1 siRNA.
Main Results:
- Aki1 silencing significantly decreased DMM cell viability and induced cell-cycle arrest.
- The effects of Aki1 silencing were mediated through the PKA-CREB1 signaling pathway.
- Aki1 expression was detected in most human DMM samples and correlated with phosphorylated CREB1.
- Intrathoracic administration of Aki1 siRNA effectively inhibited tumor growth in a DMM mouse model.
Conclusions:
- The Aki1-CREB axis plays a crucial role in the pathogenesis of diffuse malignant mesothelioma.
- Aki1 represents a promising therapeutic target for DMM.
- Intrathoracic delivery of Aki1-targeting agents warrants further investigation for locally advanced DMM.
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