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SGK1 Is a Critical Component of an AKT-Independent Pathway Essential for PI3K-Mediated Tumor Development and
Arturo Orlacchio1, Michela Ranieri1, Martina Brave1
1Department of Developmental and Molecular Biology, Albert Einstein College of Medicine, Bronx, New York.
Abstract:
Activation of the PI3K-AKT signaling cascade is a common critical event during malignant transformation. In this study, we used thyroid gland epithelial cells and a series of genetically engineered mouse strains as model systems to demonstrate that, although necessary, AKT activation is not sufficient for PI3K-driven transformation. Instead, transformation requires the activity of the PDK1-regulated AGC family of protein kinases. In particular, SGK1 was found to be essential for proliferation and survival of thyroid cancer cells harboring PI3K-activating mutations. Notably, cotargeting SGK1 and AKT resulted in significantly higher growth suppression than inhibiting either PI3K or AKT alone. Overall, these findings underscore the clinical relevance of AKT-independent pathways in tumors driven by genetic lesions targeting the PI3K cascade. Cancer Res; 77(24); 6914-26. ©2017 AACR.
Insights
AKT activation is necessary but not sufficient for PI3K-driven cancer transformation. The study highlights the essential role of SGK1 in thyroid cancer cell proliferation and survival, suggesting combined targeting of SGK1 and AKT for enhanced therapeutic effects.
Area of Science:
- Oncology
- Molecular Biology
- Cell Signaling
Background:
- Phosphoinositide 3-kinase (PI3K)-AKT signaling is crucial in cancer development.
- AKT activation is a frequent event in malignant transformation.
Purpose of the Study:
- To investigate the role of AKT activation in PI3K-driven transformation.
- To identify key kinases required for transformation beyond AKT.
- To evaluate therapeutic strategies targeting PI3K-AKT pathway components.
Main Methods:
- Utilized thyroid gland epithelial cells and genetically engineered mouse models.
- Investigated the necessity and sufficiency of AKT activation for transformation.
- Assessed the role of PDK1-regulated AGC kinases, specifically SGK1.
- Evaluated the efficacy of cotargeting SGK1 and AKT.
Main Results:
- AKT activation alone is insufficient for PI3K-driven transformation.
- Transformation necessitates the activity of PDK1-regulated AGC kinases.
- SGK1 is essential for proliferation and survival in thyroid cancer cells with PI3K mutations.
- Cotargeting SGK1 and AKT significantly suppressed tumor growth more than targeting PI3K or AKT alone.
Conclusions:
- AKT-independent pathways are clinically relevant in PI3K-driven tumors.
- SGK1 is a critical mediator of PI3K-driven transformation.
- Targeting SGK1, in addition to AKT, represents a promising therapeutic strategy for cancers with PI3K pathway activation.
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