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Molecular Genetics of the PI3K-AKT-mTOR Pathway in Genodermatoses: Diagnostic Implications and Treatment
Hassan Vahidnezhad1, Leila Youssefian2, Jouni Uitto3
1Department of Dermatology and Cutaneous Biology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA; Biotechnology Research Center, Department of Molecular Medicine, Pasteur Institute of Iran, Tehran, Iran.
Abstract:
A number of critical signaling pathways are required for homeostatic regulation of cell survival, differentiation, and proliferation during organogenesis. One of them is the PI3K-AKT-mTOR pathway consisting of a cascade of inhibitor/activator molecules. Recently, a number of heritable diseases with skin involvement, manifesting particularly with tissue overgrowth, have been shown to result from mutations in the genes in the PI3K-AKT-mTOR and interacting intracellular pathways. Many of these conditions represent an overlapping spectrum of phenotypic manifestations forming a basis for novel, unifying classifications. Identification of the mutant genes and specific mutations in these patients has implications for diagnostics and genetic counseling and provides a rational basis for the development of novel treatment modalities for this currently intractable group of disorders.
Insights
Mutations in the PI3K-AKT-mTOR pathway cause rare genetic disorders with tissue overgrowth. Identifying these gene mutations aids diagnosis, counseling, and developing new treatments for these intractable conditions.
Area of Science:
- Molecular Biology
- Genetics
- Dermatology
Background:
- Cellular homeostasis relies on signaling pathways like PI3K-AKT-mTOR.
- This pathway regulates cell survival, differentiation, and proliferation during development.
Purpose of the Study:
- To explore the role of PI3K-AKT-mTOR pathway mutations in heritable skin disorders with tissue overgrowth.
- To establish a basis for novel classifications and treatments for these conditions.
Main Methods:
- Analysis of genetic mutations in patients with specific skin overgrowth syndromes.
- Review of existing literature on PI3K-AKT-mTOR pathway signaling and related diseases.
Main Results:
- Heritable diseases with tissue overgrowth are linked to mutations in the PI3K-AKT-mTOR pathway and interacting pathways.
- Phenotypic manifestations often overlap, suggesting a spectrum of related disorders.
Conclusions:
- Identifying specific gene mutations is crucial for accurate diagnostics and genetic counseling.
- Understanding these mutations provides a rationale for developing targeted therapies for intractable overgrowth disorders.
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