Mounting evidence indicates that alterations of AKT signalling play important roles in cancer development. An earlier study discovered an oncogenic AKT1 gene mutation (AKT1 E17K) in breast, colorectal and ovarian cancers. The aim of this study was to see whether the AKT1 E17K mutation is common in breast, colorectal, lung, gastric and hepatocellular carcinomas and acute leukaemias. We analysed the presence of the AKT1 E17K mutation in 731 cancer tissues by a single-strand conformation polymorphism assay. In addition, we analysed the corresponding sequences of AKT1 E17K in AKT2 and AKT3 genes. Overall, we detected the four AKT1 E17K mutations in the breast cancers (4/93; 4.3%), but none in other cancers. There was no AKT2 or AKT3 mutation in the cancers. This study demonstrated that the AKT1 E17K mutation occurs in breast cancers at a low frequency, and that it is rare in other common cancers, including colorectal, lung, gastric and hepatocellular carcinomas and acute leukaemias. Despite the confirmed oncogenic function of the AKT1 E17K, the rare incidences of the mutation suggest that it may not play a crucial role in the development of the most common types of human cancers. (Gschwind et al, 2004). AKT1 (also known as protein kinase B) is a subfamily of serine/threonine protein kinases, and the AKT genes are the mammalian equivalent of murine viral oncogene v-akt (Testa and Bellacosa, 2001). There are three isoforms of the AKT (AKT1, AKT2 and AKT3), and each AKT member contains an N-terminal pleckstrin homology (PH) domain, a short a-helical linker and a C-terminal kinase domain (Testa and Bellacosa, 2001). AKTs are major downstream targets of growth factor receptors that signal through phosphatidylinositol 3-kinase (Testa and Bellacosa, 2001). Mounting evidence exists that activation of AKT proteins is important in cancer development (Muise-Helmericks et al, 1998;Dimmeler et al, 1999;Khwaja, 1999;Ozes et al, 1999;Mende et al, 2001;Wei et al, 2001). PTEN inhibits AKT activation and works as a tumour suppressor (Testa and Bellacosa, 2001). Inactivating mutation of PTEN and activating mutation of PIK3CA have been detected in many human cancers and have been known as major activating mechanisms of AKTsignalling pathway in cancers (Testa and Bellacosa, 2001;Samuels et al, 2004). By contrast, activating mutation of AKT genes has not been widely reported in human cancers.Recently, a research group discovered a recurrent somatic mutation of AKT1 gene in human breast, colorectal and ovarian cancers (Carpten et al, 2007). The AKT1 mutation was a missense mutation that substituted an amino acid (E17K) in the PH domain of AKT1. The AKT1 E17K mutation was found in 5 out of 61 (8.2%) breast cancers, 3 out of 51 (5.9%) colorectal cancers and 1 out of 50 (2.0%) ovarian cancers (Carpten et al, 2007). The E17K mutation was mutually exclusive with respect to PIK3CA mutation and loss of PTEN expression (Carpten et al, 2007). Functionally, the AKT1 E17K mutation stimulates AKT signalling, induces cellular transformation and produ...