Distinct functions of AKT isoforms in breast cancer: a comprehensive review

Abstract

Background: AKT, also known as protein kinase B, is a key element of the PI3K/AKT signaling pathway. Moreover, AKT regulates the hallmarks of cancer, e.g. tumor growth, survival and invasiveness of tumor cells. After AKT was discovered in the early 1990s, further studies revealed that there are three different AKT isoforms, namely AKT1, AKT2 and AKT3. Despite their high similarity of 80%, the distinct AKT isoforms exert non-redundant, partly even opposing effects under physiological and pathological conditions. Breast cancer as the most common cancer entity in women, frequently shows alterations of the PI3K/AKT signaling. Main content: A plethora of studies addressed the impact of AKT isoforms on tumor growth, metastasis and angiogenesis of breast cancer as well as on therapy response and overall survival in patients. Therefore, this review aimed to give a comprehensive overview about the isoform-specific effects of AKT in breast cancer and to summarize known downstream and upstream mechanisms. Taking account of conflicting findings among the studies, the majority of the studies reported a tumor initiating role of AKT1, whereas AKT2 is mainly responsible for tumor progression and metastasis. In detail, AKT1 increases cell proliferation through cell cycle proteins like p21, p27 and cyclin D1 and impairs apoptosis e.g. via p53. On the downside AKT1 decreases migration of breast cancer cells, for instance by regulating TSC2, palladin and EMT-proteins. However, AKT2 promotes migration and invasion most notably through regulation of β-integrins, EMT-proteins and F-actin. Whilst AKT3 is associated with a negative ER-status, findings about the role of AKT3 in regulation of the key properties of breast cancer are sparse. Accordingly, AKT1 is mutated and AKT2 is amplified in some cases of breast cancer and AKT isoforms are associated with overall survival and therapy response in an isoform-specific manner. Conclusions: Although there are several discussed hypotheses how isoform specificity is achieved, the mechanisms behind the isoform-specific effects remain mostly unrevealed. As a consequence, further effort is necessary to achieve deeper insights into an isoform-specific AKT signaling in breast cancer and the mechanism behind it.

Vav1 Down-Modulates Akt2 Expression in Cells from Pancreatic Ductal Adenocarcinoma: Nuclear Vav1 as a Potential Regulator of Akt Related Malignancy in Pancreatic Cancer

“…Abnormal activation of the Akt pathway is the most common aberration of signal transduction in solid tumors, and considering its crucial role in regulating cell growth, proliferation, and survival [ 17 ], targeting Akt still constitutes an exciting objective for developing anticancer strategies [ 18 , 19 ]. Among the role played by the Akt isoforms in tumors, Akt1 is generally correlated with cell proliferation, survival, and apoptosis, while Akt2, which has become one of the most studied targets in diverse solid tumors, is mainly associated with cell migration and metastasis [ 20 , 21 , 22 ].…”

FOXO3a accumulation and activation accelerate oxidative stress‐induced podocyte injury

“…AKT is a well-known cell survival factor. 43,44 AKT activation by phosphorylation has been reported to protect podocytes from apoptosis. [45][46][47] Moreover, AKT is a recognized negative regulator of FOXO activity.…”

Ultrasound Microbubble-Mediated microRNA-505 Regulates Cervical Cancer Cell Growth via AKT2

“…Furthermore, miR-505 targeted AKT2. There are three subtypes of AKT, namely AKT1, AKT2, and AKT3, among which AKT2 is responsible for tumor progression and metastasis through regulating EMT-related proteins [ 40 ]. Increased AKT2 expression was associated with the cervical lesion progression [ 41 ].…”