PMID- 18826385 OWN - NLM STAT- MEDLINE DCOM- 20090126 LR - 20211203 IS - 1601-0825 (Electronic) IS - 1354-523X (Linking) VI - 14 IP - 6 DP - 2008 Sep TI - Expression and alterations of the PTEN / AKT / mTOR pathway in ameloblastomas. PG - 561-8 LID - 10.1111/j.1601-0825.2007.01421.x [doi] AB - OBJECTIVES: Recently, an allelic loss of phosphatase and tensin homologue (PTEN) was shown to occur in ameloblastomas. In carcinogenesis, loss of PTEN allows for overactivity of the phosphatidylinositol-3-kinase/protein kinase B (PI3K / AKT) pathway inducing an upregulation of mammalian-target of rapamycin (mTOR) and its downstream effector ribosomal-subunit-6 kinase (S6K); allowing for uncontrolled cell proliferation, apoptosis inhibition and cell cycle deregulation. METHODS: Thirty ameloblastomas and five dental follicles were studied, looking at the immunohistochemical expression of total PTEN and AKT, as well as their phosphorylated (p) active forms, and the downstream effector and indicator of mTOR activity p70 ribosomal-subunit-6 kinase (pS6K). Also assessed was the expression of extracellular-signal-regulated kinase (ERK), which cross talks with AKT. RESULTS: Total PTEN was absent in 33.3% of ameloblastomas, while its stabilized, phosphorylated(ser380 / thr382 / thr383) form was absent in 83.3% of tumors. In contrast, AKT was expressed in 83.3% of ameloblastomas, showing high expression of the p-thr(308)AKT and p-ser(473) AKT forms in 93.3% and 56.6% of cases, respectively. Further, the mTOR activated pS6K(ser240 / 244) was detected in 86.7% of ameloblastomas, while ERK was overexpressed in 70.0% of the cases. CONCLUSION: Immunohistochemical analysis of aberrant signaling in the PI3K/AKT/mTOR pathway in ameloblastomas may represent a valuable tool for elucidating pathogenesis, aggressiveness and selecting optimal therapeutics. FAU - Scheper, M A AU - Scheper MA AD - Department of Diagnostic Sciences and Pathology, University of Maryland, Baltimore, MD 21201, USA. mscheper@umaryland.edu FAU - Chaisuparat, R AU - Chaisuparat R FAU - Nikitakis, N G AU - Nikitakis NG FAU - Sauk, J J AU - Sauk JJ LA - eng PT - Journal Article PL - Denmark TA - Oral Dis JT - Oral diseases JID - 9508565 RN - EC 2.7.- (Protein Kinases) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (Ribosomal Protein S6 Kinases, 70-kDa) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.11.1 (ribosomal protein S6 kinase, 70kD, polypeptide 2) RN - EC 2.7.11.24 (Extracellular Signal-Regulated MAP Kinases) RN - EC 3.1.3.67 (PTEN Phosphohydrolase) RN - EC 3.1.3.67 (PTEN protein, human) MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Ameloblastoma/genetics/*pathology MH - Cell Proliferation MH - Dental Sac/pathology MH - Extracellular Signal-Regulated MAP Kinases/analysis MH - Female MH - Gene Expression Regulation, Neoplastic/genetics MH - Gingival Neoplasms/pathology MH - Humans MH - Immunohistochemistry MH - Loss of Heterozygosity/genetics MH - Male MH - Mandibular Neoplasms/pathology MH - Maxillary Neoplasms/pathology MH - Middle Aged MH - PTEN Phosphohydrolase/*analysis MH - Phosphatidylinositol 3-Kinases/*analysis MH - Phosphorylation MH - Protein Kinases/*analysis MH - Proto-Oncogene Proteins c-akt/*analysis MH - Ribosomal Protein S6 Kinases, 70-kDa/analysis MH - TOR Serine-Threonine Kinases MH - Tooth, Impacted/pathology MH - Up-Regulation/genetics MH - Young Adult EDAT- 2008/10/02 09:00 MHDA- 2009/01/27 09:00 CRDT- 2008/10/02 09:00 PHST- 2008/10/02 09:00 [pubmed] PHST- 2009/01/27 09:00 [medline] PHST- 2008/10/02 09:00 [entrez] AID - ODI1421 [pii] AID - 10.1111/j.1601-0825.2007.01421.x [doi] PST - ppublish SO - Oral Dis. 2008 Sep;14(6):561-8. doi: 10.1111/j.1601-0825.2007.01421.x.