The present study investigated the involvement of signaling of phosphatase and tensin homolog deleted on chromosome 10 (PTEN)/ protein kinase B (Akt) and transforming growth factor-b (TGFb) as well as receptor tyrosine kinases in the tumor promotion processes in a two-stage hepatocarcinogenesis model using male F344 rats. The cellular localization of related molecules was examined in liver cell foci expressing glutathione S-transferase placental form (GST-P) at the early stage of tumor promotion by fenbendazole (FB), piperonyl butoxide, or thioacetamide. Distribution in the liver cell foci and neoplastic lesions positive for GST-P was also examined at the later stage of FB promotion. In contrast to the initiation-alone cases, subpopulations of GST-P-positive foci induced by promotion for 6 weeks, regardless of the promoting chemicals used, enhanced down-regulation of PTEN and up-regulation of phosphorylated (active) Akt2 and phosphorylated substrate(s) of Akt-kinase activity. Also, up-regulation of TGFb receptor I and down-regulation of epidermal growth factor receptor (EGFR) were enhanced in the subpopulation of GST-P-positive foci in all promoted cases. A similar pattern of cellular distribution of these molecules was also observed in the neoplastic lesions at the late stage. These results suggest a crosstalk between Akt2 and TGFb signaling that involves a mechanism requiring EGFR downregulation during the entire tumor promotion process starting from the early stage. In particular, a shift in subcellular localization of phosphorylated substrate(s) of Akt from the cell membrane in liver cell foci to the cytoplasm in carcinomas was observed, suggesting an alteration of the function or activity of the corresponding molecule(s). (Cancer Sci 2009; 100: 813-820) I n a rat two-stage hepatocarcinogenesis model, altered liver cell foci immunoreactive for glutathiuone S-transferase placental form (GST-P) have been shown to increase in number and area because of tumor promotion with hepatocarcinogens, in accordance with the hepatocarcinogenic potential; therefore, these foci have been confirmed as preneoplastic lesions of liver cells.(1,2) However, only a few studies have examined the roles of cellular signaling and molecular linkage in the growth and development of the liver cell foci. (3)(4)(5)(6) Akt is a serine/threonine kinase that is a central regulator of widely divergent cellular processes, including proliferation, differentiation, migration, survival, and metabolism.(7) Akt is activated by a variety of stimuli, through growth factor receptors, in a phosphatidylinositol 3-kinase (PI3K)-dependent manner, and it is also negatively regulated by the tumor suppressor phosphatase and tensin homolog deleted on chromosome 10 (PTEN).(8) A disruption of normal Akt/PTEN signaling frequently occurs in many human cancers, and thus these molecules play an important role in cancer development, progression, and therapeutic resistance.(9,10) To date, three members of the Akt family have been identified in mammals: Akt1, Akt2, and...