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Published on: July 17, 2019
Novel Mutations in AKT1 Gene in Prostate Cancer Patients in Jordan
Ala'a Alasmar1, Zina Al-Alami2, Sima Zein3
1Department of Medical Laboratory Sciences, Faculty of Allied Medical Sciences, Al-Ahliyya Amman University, Amman 19328, Jordan.
Abstract:
The AKT1 oncogene is related to various cancers due to its critical role in the PIC3CA/AKT1 pathway; however, most of the studies screened the hotspot mutation AKT1 (E17K) with various incidences. Low frequency or lack of AKT1 (E17K) mutation was reported in prostate cancer (PC) patients. This study aims to explore genetic alterations in the AKT1 PH domain by extending the sequencing to include AKT1 gene exons 3 and 4. Genomic DNA was extracted from 84 Formalin-Fixed Paraffin-Embedded samples of PC patients in Jordan, and then subjected to PCR and sequencing for the targeted exons. This study revealed the presence of two novel mutations (N53Y and Q59K) and a high frequency of mutations in exon 4, with a lack of mutations in the E17K hotspot. Nine missense and two synonymous mutations were detected in exon 4 (Phe27Tyr, Phe27Leu, Ala58Thr, Ser56Phe, Arg41Trp, Phe35Leu, Asp32Glu, Phe35Tyr, and Gln43Lys) and (Ser56 and Glu40), respectively. Two synonymous mutations were detected in exon 3 (Leu12 and Ser2). It is concluded that there is a high frequency of AKT1 mutation in PC patients in Jordan with two novel missense mutations in the Pleckstrin homology (PH) domain. E17K hotspot mutation was not detected in any tested samples, which underlined the significant role of mutations in other AKT1 exons in PC development.
Insights
Prostate cancer (PC) patients in Jordan show frequent AKT1 gene mutations, particularly in exon 4, and novel mutations in the Pleckstrin homology (PH) domain. The common E17K hotspot mutation was absent, suggesting other AKT1 alterations drive PC development.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- The AKT1 oncogene plays a key role in the PI3K/AKT1 pathway, implicated in various cancers.
- The AKT1 E17K hotspot mutation is frequently studied, but its incidence is low in prostate cancer (PC).
- Limited research exists on AKT1 mutations in Jordanian PC patients, especially outside the E17K hotspot.
Purpose of the Study:
- To investigate genetic alterations in the AKT1 Pleckstrin homology (PH) domain in Jordanian PC patients.
- To extend genetic screening to AKT1 gene exons 3 and 4, beyond the common E17K hotspot.
- To determine the frequency and types of AKT1 mutations in this cohort.
Main Methods:
- Genomic DNA extraction from 84 Formalin-Fixed Paraffin-Embedded (FFPE) PC samples from Jordan.
- Polymerase Chain Reaction (PCR) amplification of targeted AKT1 gene exons 3 and 4.
- DNA sequencing to identify genetic variations within the targeted exons.
Main Results:
- A high frequency of AKT1 mutations was detected in exon 4, including nine missense and two synonymous mutations.
- Two novel missense mutations (N53Y and Q59K) were identified in the AKT1 PH domain.
- No mutations were found in the AKT1 E17K hotspot; two synonymous mutations were found in exon 3.
Conclusions:
- Prostate cancer patients in Jordan exhibit a high prevalence of AKT1 mutations, distinct from the E17K hotspot.
- Novel mutations in the AKT1 PH domain suggest alternative mechanisms driving PC development.
- Further research into non-hotspot AKT1 mutations is crucial for understanding PC pathogenesis.
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