Study suggests Akt3 protein is key to melanoma’s resistance to chemotherapy

Wiping out a protein in skin cancer cells could significantly stall melanoma tumor development and increase the sensitivity of the cancer cells to chemotherapy, a Penn State College of Medicine study suggests.

The protein, Akt3, appears to be responsible for promoting tumor cell survival and development in 43 percent to 60 percent of non-inherited melanomas. “Our study showed that lowering Akt3 activity can reduce the tumor-creating potential of melanoma cells by making the cancer cells more likely to respond to signals that tell them to die,” said Gavin P. Robertson, Ph.D., assistant professor of pharmacology, pathology and dermatology, Penn State College of Medicine. “Because most chemotherapeutic drugs work by inducing apoptosis, or programmed cell death, we predict that inhibiting Akt3 activity could lower the threshold doses of drugs or radiation required for effective chemo- or radiotherapy and provide a mechanism to directly target the melanoma cells.”

The study, published recently in the journal Cancer Research, used melanoma cell lines together with tumors taken directly from melanoma patients to show that as melanoma cells become more aggressive and metastatic, the amount of active Akt3 protein in the cells increases.

In non-cancerous cells, another protein called PTEN – phosphatase and tensin homologue – starts a chain reaction ensuring that malfunctioning and damaged cells are killed. But abnormal cancerous cells gain the ability to switch off PTEN, allowing dysfunctional, cancerous cells to survive and thrive.

This study exposes another link in that chain reaction by connecting PTEN to Akt3 in melanomas. Robertson found that PTEN specifically regulates Akt3. Consequently, when PTEN is lost, Akt3 malfunctions and accumulates, allowing melanoma cells to survive. “In addition to the connection to PTEN, we also found that more copies of the Akt3 gene are present as melanoma cells become more aggressive,” Robertson said. “The Akt3, in effect, protects the cancer cells from the normal signals that would tell them to die. Using samples of human melanoma tumors, we found that levels of active Akt3 increase progressively during melanoma tumor progression with highest levels present in advanced-stage melanoma.”

Akt3 is one of a trio of Akt proteins, all three of which have been implicated in various cancers. For example, Akt2 activity has been found in cancers of the ovary, pancreas, stomach and breast. Although all three forms of Akt are present in melanoma cells, this study found that in melanoma, Akt1 and Akt2 remain inactive and, therefore, have little if any role in melanoma development.

Robertson used siRNA, small interfering ribonucleic acids, which can be made to reduce the amount of a specific protein produced by a cell disrupting the synthesis of the protein. In Robertson’s study, the siRNA were designed specifically to target Akt3. In addition, he put back the PTEN protein in the melanoma cells. This restarted the normal signals triggering cell death that had been halted by the melanoma cells. Both of these methods reduced melanoma cell survival and inhibited tumor development. Robertson’s team confirmed this using a mouse model, finding that decreasing Akt3 activity using siRNA or reintroducing the missing PTEN protein halted tumor progression.

“Identifying Akt3 as a possible target to halt the growth of and kill melanoma cells provides new opportunities to develop therapies for patients with metastatic melanoma,” Robertson said. “Ultimately, therapies targeted against Akt3 could be used with traditional chemotherapy to give those with melanoma more effective therapeutic options to fight the disease.”

This research was supported by the American Cancer Society and The Foreman Foundation for Melanoma Research.

In addition to Robertson, the study team included: Jill M. Stahl, Arati Sharma, Mitchell Cheung, Melissa Zimmerman, Mark Kester, and Lakshman Sandirasegarane, Penn State College of Medicine, Jin Q. Cheng, University of South Florida College of Medicine, and Marcus W. Bosenberg, The University of Vermont.