“…Furthermore, although not recognized in the KEGG pathway database, the DAGs SULF2, RBFOX3, and COL11A1 have been reported to upregulate the PI3K-Akt signaling pathway and the DAGs ITGA6, SMYD3, and ENC1 have been reported to upregulate the MAPK signaling pathway in other malignancies [ 25 , 26 , 27 , 28 , 29 , 30 , 31 ]. MCPyV small tumor antigen has previously been demonstrated to activate p38 MAPK signaling in MCC, and immunohistochemical findings have demonstrated high degrees of activating AKT phosphorylation in MCC [ 32 , 33 ]. The PI3K-Akt and MAPK signaling pathways both serve oncogenic roles in several malignancies, such as stimulating cellular proliferation, inhibiting apoptosis, promoting tumor invasion and metastasis, and stimulating angiogenesis, which in the case of the MAPK pathway is partially mediated by upregulation of VEGFA [ 34 , 35 ].…”