1. The functional interplay between PTEN and PDK1 in acute leukemia
- Author
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Zhang, Si Yi and So, Chi Wai
- Subjects
616.99 - Abstract
Considered one of the frequently deregulated pathways in leukemia, the PI3K/AKT pathway is a highly conserved signal transduction pathway associated with cell growth, survival, and proliferation. When phosphatidylinositol 3-kinase (PI3K) is activated, it phosphorylates lipids on the plasma membrane, leading to conversion of secondary messenger phosphatidylinositol (4,5)-bisphosphate (PIP2) to phosphatidylinositol (3,4,5)-trisphosphate (PIP3). Protein kinase B (PKB or AKT) binds PIP3, which allows a master kinase effector 3-phosphoinositide-dependent protein kinase-1 (PDK1) to access and phosphorylate AKT at its activation loop threonine 308, resulting in its partial activation. Currently, PDK1 is the only known kinase that is able to mediate this phosphorylation, which is essential for full AKT activity. Phosphatase and tensin homolog (PTEN) antagonizes the pathway by converting PIP3 back to PIP2. Loss of PTEN leads to excessive PIP3 build-up at the plasma membrane, which in turn, recruits and activates AKT, causing uncontrolled activity in the PI3K/AKT pathway downstream. Using inducible leukemic mouse models, we were able to investigate the intricate relationship between PTEN and PDK1 further. Upon transplantation, we observed that when PTEN was absent, there was no effect on engraftment when compared to the control. However, it did result in early onset of acute myeloid leukemia (AML), acute lymphoblastic leukemia (ALL), biphenotypic acute leukemia (BAL), and mixed-lineage leukemia (MLL). On the contrary, when PDK1 was deleted, it did not lead to leukemia development over time. However, when both PDK1 and PTEN were knocked out simultaneously, the disease latency increased, but it still was not able to reverse leukemogenesis altogether. Interestingly, these mice only succumbed to myeloid malignancy and not lymphoid leukemia. The presence of AKT phosphorylation at T308 was observed in the double knockout animals upon disease development but was absent before disease onset. From this, we hypothesized that there might be an alternative kinase or mechanism that is able to phosphorylate AKT, leading to disease progression of acute myeloid leukemia. Approaches such as RNA sequencing, high-throughput inhibitor screens, and proteomic profiling competitive assays were taken in order to explore the possibility of another kinase that could be involved in this functional crosstalk. As a result, we concluded that PDK1 is required for PTEN-mediated leukemia and that there might be other kinases or pathways that can contribute to the activation of AKT in the absence of PDK1.
- Published
- 2021