PMID- 17438183 OWN - NLM STAT- MEDLINE DCOM- 20070524 LR - 20161019 IS - 0003-987X (Print) IS - 0003-987X (Linking) VI - 143 IP - 4 DP - 2007 Apr TI - AKT1 overexpression in endothelial cells leads to the development of cutaneous vascular malformations in vivo. PG - 504-6 AB - BACKGROUND: Vascular malformations are clinical disorders in which endothelial cells fail to remodel and/or undergo programmed cell death, leading to abnormal persistence of blood vessels. The abnormal persistence of vessels makes therapy difficult because these lesions are resistant to interventions that are effective against hemangiomas. Akt1 is a serine-threonine protein kinase, which is a key mediator of resistance to programmed cell death. Our objective was to determine whether sustained activation of Akt1 could lead to vascular malformation in mice. OBSERVATIONS: We examined the effect of constitutive activation of Akt1 in murine endothelial cells (MS1 cells). Overexpression of active AKT1 in MS1 cells led to the development of vascular malformations, characterized by wide endothelial lumens and minimal investment of smooth muscle surrounding the vessels. The histologic features of these vascular malformations is distinct from ras-transformed MS1 cells (angiosarcoma) and suggest that differing signal abnormalities give rise to human vascular malformations vs malignant vascular tumors. CONCLUSIONS: Inhibition of Akt signaling may be useful in the treatment of vascular malformations. Examination of problematic hemangiomas and vascular malformations for the presence of activated Akt or downstream targets of Akt, such as mammalian target of rapamycin (mTOR), may predict response to treatment with Akt inhibitors or rapamycin. This study provides a potential rationale for the systemic and topical use of these inhibitors for vascular malformations and hemangiomas. FAU - Perry, Betsy AU - Perry B AD - Department of Dermatology, Emory University School of Medicine, Atlanta, GA 30322, USA. FAU - Banyard, Jacqueline AU - Banyard J FAU - McLaughlin, Elizabeth R AU - McLaughlin ER FAU - Watnick, Randy AU - Watnick R FAU - Sohn, Allie AU - Sohn A FAU - Brindley, David N AU - Brindley DN FAU - Obata, Toshiyuki AU - Obata T FAU - Cantley, Lewis C AU - Cantley LC FAU - Cohen, Cynthia AU - Cohen C FAU - Arbiser, Jack L AU - Arbiser JL LA - eng GR - R01 GM041890/GM/NIGMS NIH HHS/United States GR - P30 AR42687/AR/NIAMS NIH HHS/United States GR - R01 AR47901/AR/NIAMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - Arch Dermatol JT - Archives of dermatology JID - 0372433 RN - EC 2.7.11.1 (AKT1 protein, human) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) SB - IM MH - Animals MH - Blood Vessels/*abnormalities MH - Cell Line MH - Endothelial Cells/metabolism/transplantation MH - Endothelium, Vascular/*metabolism MH - Male MH - Mice MH - Mice, Nude MH - Proto-Oncogene Proteins c-akt/*metabolism MH - Skin/*blood supply EDAT- 2007/04/18 09:00 MHDA- 2007/05/26 09:00 CRDT- 2007/04/18 09:00 PHST- 2007/04/18 09:00 [pubmed] PHST- 2007/05/26 09:00 [medline] PHST- 2007/04/18 09:00 [entrez] AID - 143/4/504 [pii] AID - 10.1001/archderm.143.4.504 [doi] PST - ppublish SO - Arch Dermatol. 2007 Apr;143(4):504-6. doi: 10.1001/archderm.143.4.504.