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Alterations of the AKT Pathway in Sporadic Human Tumors, Inherited Susceptibility to Cancer, and Overgrowth Syndromes
Craig W Menges1,2, Dalal Hassan3,4, Mitchell Cheung1
1Cancer Prevention and Control Program, Fox Chase Cancer Center, Philadelphia, PA, 19111, USA.
Abstract:
The AKT kinases are critical signaling molecules that regulate cellular physiology upon the activation of tyrosine kinase receptors and phosphatidylinositol 3-kinases (PI3K). AKT kinases govern many cellular processes considered hallmarks of cancer, including cell proliferation and survival, cell size, tumor invasion, metastasis, and angiogenesis. AKT signaling is regulated by multiple tumor suppressors and oncogenic proteins whose loss or activation, respectively, leads to dysregulation of this pathway, thereby contributing to oncogenesis. Herein, we review the enormous body of literature documenting how the AKT pathway becomes hyperactivated in sporadic human tumors and various hereditary cancer syndromes. We also discuss the role of activating mutations of AKT pathway genes in various chimeric overgrowth disorders, including Proteus syndrome, hypoglycemia with hypertrophy, CLOVES and SOLAMEN syndromes, and hemimegalencephaly.
Insights
The AKT signaling pathway is crucial for cell growth and survival, and its dysregulation contributes to cancer and overgrowth disorders. Hyperactivation of AKT is a common feature in many human tumors and genetic syndromes.
Area of Science:
- Biochemistry
- Molecular Biology
- Oncology
Background:
- AKT kinases are key regulators of cellular processes, activated by tyrosine kinase receptors and PI3K.
- Dysregulation of AKT signaling, through tumor suppressors or oncogenes, contributes to cancer development.
- AKT pathway hyperactivation is implicated in numerous human cancers and genetic overgrowth syndromes.
Purpose of the Study:
- To review the literature on AKT pathway hyperactivation in human tumors and hereditary cancer syndromes.
- To discuss the role of AKT pathway gene mutations in chimeric overgrowth disorders.
Main Methods:
- Literature review of scientific publications.
- Analysis of documented cases of human tumors and genetic syndromes.
Main Results:
- The AKT pathway is frequently hyperactivated in sporadic and hereditary human cancers.
- Activating mutations in AKT pathway genes are associated with overgrowth disorders like Proteus syndrome and CLOVES syndrome.
Conclusions:
- Hyperactivated AKT signaling is a significant factor in oncogenesis and the development of various overgrowth disorders.
- Understanding AKT pathway dysregulation is critical for developing targeted therapies for cancer and related conditions.
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