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Blood, 1 September 2006, Vol. 108, No. 5, pp. 1668-1676.
Prepublished online as a Blood First Edition Paper on April 27, 2006; DOI 10.1182/blood-2006-04-015586.
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Submitted April 11, 2006
Accepted April 16, 2006
Constitutive activation of Akt contributes to the
pathogenesis and survival of mantle cell lymphoma
Martina Rudelius, Stefania Pittaluga, Satoshi Nishizuka, Trinh H-T Pham, Falko Fend, Elaine S Jaffe, Leticia Quintanilla-Martinez, and Mark Raffeld*
Hematopathology Section, Laboratory of Pathology, National Cancer Institute, NIH, Bethesda, MD
Molecular Therapeutics Program, National Cancer Institute, NIH, Bethesda, MD
Institute of Pathology Technical University of Munich, Munich, Germany
GSF-National Research Center for Health and Environment, Neuherberg, Germany
* Corresponding author; email: mraff{at}box-m.nih.gov.
To determine whether the PI3K/Akt signaling pathway is involved in the pathogenesis of mantle cell lymphoma (MCL), we investigated the phosphorylation status of Akt and multiple downstream targets in primary MCL cases and cell lines. Akt was phosphorylated in 12/12 aggressive blastoid MCL variants and in 4/4 MCL cell lines. In contrast, phosphorylated Akt was present in only 5/16 typical MCL, 3 at comparable levels to the blastoid cases, and 2 at low levels. The presence of p-Akt was accompanied by the phosphorylation of p27kip1, FRKHL-1, MDM2, Bad, mTOR, and p70S6K. Inhibition of the PI3K/Akt pathway in the MCL cell lines abrogated or reduced the phosphorylation of Akt, p27kip1, FRKHL-1, MDM2, Bad, mTOR, GSK-3 , I B, and led to cell cycle arrest and apoptosis. Six MCL cases (5 with activated Akt and one with inactive Akt), and 3/4 cell lines showed loss of PTEN expression. PI3KCA mutations were not detected. We conclude that constitutive activation of the PI3K/Akt pathway contributes to the pathogenesis of MCL, and preferentially occurs in blastoid variants. One possible mechanism of activation is loss of PTEN expression. These data suggest that PI3K/Akt inhibitors may be effective in the treatment of Akt-activated MCL.

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