“…Apart from the iconic BCR/ABL oncogene formation in chronic myeloid leukemia (CML) and the genetic abnormalities frequently linked to treatment resistance and poor patient outcome in acute myeloid leukemia (AML), for example the unique PML-RARA fusion in acute promyelocytic leukaemia (APL; AML M3), the PI3K/AKT pathway can function as a prosurvival factor in leukemia stem cells and early committed leukemic precursors with the following facts: Firstly, the overall genetic alterations of PIK3CA (0.6%), PIK3R1 (0.6%), PIK3R2 (0.4%), AKT1 (0.5%), AKT2 (0.1%) and PTEN (0.7%, Table 1) are observed in leukemia (Table 1). Secondly, PTEN plays critical roles in regulating not only hematopoietic stem cell activity through a Niche-dependent mechanism, but also hematopoiesis and leukemogenesis [341][342][343]. Furthermore, TAL1, c-Jun, EZH2, TRIM22, ETV6/RUNX1, miR-7, -22, -26b, -103, -125b, -126, -139-5p, -181c, -193a, -628, and -3142, as well as LncRNA HULC, UCA1, linc00239 and LINC00265 control leukemogenesis, proliferation, apoptosis or chemoresistance via PI3K/AKT pathway [344][345][346][347][348][349][350][351][352][353][354][355][356][357][358][359][360][361][362][363].…”