AKT3, a key component of the PI3K-AKT-MTOR pathway, is highly expressed in the brain, and its activating variants cause megalencephaly and cortical malformations. In this study, we functionally verified a novel missense AKT3 variant (p.Q78R) identified in a patient with extreme megalencephaly and intractable epilepsy. We transiently transfected HEK-293T cells with the AKT or AKT3 and observed a significant increase of phospho-S6, a marker of mTOR complex 1 (mTORC1) activity, in AKT3 transfected cells. Furthermore, considering its application in epilepsy treatment research, we identified a small interfering RNA (siRNA) capable of reducing the mRNA levels of AKT without affecting the expression levels of AKT3. Finally, the siRNA we identified specifically suppressed the AKT3-mediated mTORC1 activity, suggesting that this allele-specific siRNA approach holds promise for ameliorating the pathological condition.

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http://dx.doi.org/10.1038/s10038-025-01329-xDOI Listing

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