Medical Oncology Branch, NCI, NIH, Bethesda, MD 20889, USA.
Oncogene. 2011 Apr 14;30(15):1812-21. doi: 10.1038/onc.2010.556. Epub 2011 Jan 17.
K-ras mutations are associated with smoking-induced lung cancer and poor clinical outcomes. In mice, K-ras mutations are sufficient to induce lung tumors, which require phosphoinoside-3-kinase (PI3K) and further downstream, mammalian target of rapamycin (mTOR) activation. However, the roles of individual Akt isoforms that link PI3K and mTOR are unknown. Here, we show that deletion of Akt1 but not Akt2 or Akt3 prevents lung tumorigenesis in a tobacco carcinogen-induced model and a genetic model. Akt1 deletion prevented tumor initiation as well as tumor progression, coincident with decreased Akt signaling in tumor tissues. In contrast, deletion of Akt3 increased tumor multiplicity in the carcinogen model and increased tumor size in the genetic model. Fibroblasts lacking Akt1 are resistant to transformation by mutant K-ras and stimulation by epidermal growth factor. Human lung cancer cells with mutant K-ras and diminished Akt1 levels fail to grow in vivo. These data suggest that Akt1 is the primary Akt isoform activated by mutant K-ras in lung tumors, and that Akt3 may oppose Akt1 in lung tumorigenesis and lung tumor progression. Given that Akt inhibitors in clinical development as cancer therapeutics are not isoform selective, these studies support specific targeting of Akt1 to mitigate the effects of mutant K-ras in lung cancer.
K-ras 突变与吸烟引起的肺癌和不良临床结局有关。在小鼠中,K-ras 突变足以诱导肺癌,这需要磷酸肌醇 3-激酶(PI3K)和进一步下游的雷帕霉素靶蛋白(mTOR)激活。然而,连接 PI3K 和 mTOR 的个体 Akt 同工型的作用尚不清楚。在这里,我们表明 Akt1 的缺失而不是 Akt2 或 Akt3 可防止烟草致癌剂诱导模型和遗传模型中的肺癌发生。Akt1 缺失可预防肿瘤起始和肿瘤进展,与肿瘤组织中 Akt 信号降低一致。相比之下,Akt3 的缺失增加了致癌剂模型中的肿瘤多发性,并增加了遗传模型中的肿瘤大小。缺乏 Akt1 的成纤维细胞对突变型 K-ras 的转化和表皮生长因子的刺激具有抗性。具有突变型 K-ras 和 Akt1 水平降低的人肺癌细胞在体内无法生长。这些数据表明 Akt1 是肺癌肿瘤中突变型 K-ras 激活的主要 Akt 同工型,并且 Akt3 可能在肺癌发生和肺癌进展中与 Akt1 相对抗。鉴于在临床开发中作为癌症治疗剂的 Akt 抑制剂不是同工型选择性的,这些研究支持针对 Akt1 的特异性靶向,以减轻肺癌中突变型 K-ras 的影响。