Protein kinase B
AKT1geneAKT phosphorylation amplifies platelet activation via PI3K, while also promoting endothelial repair and cardiomyocyte survival through eNOS and mitochondrial protection.
Pathway placement
Cascade stepPlatelet adhesion & activation
Confidencehigh
RationalePlatelet activation signaling; eNOS activation for endothelial function; cardioprotective survival kinase.
Also acts inEndothelial activation/erosion, Myocardial injury, Systemic / off-pathway
Druggability
DruggableYes
Known drugs / candidates15
Small-molecule tractableYes
Antibody tractableYes
EnsemblENSG00000142208
Type I vs Type II discrimination
ScoresShared / rises in both
R — rupture / Type-I67
C — confounder / Type-II56
A — assay feasibility52
E — evidence strength42
T1DI (composite)12
Specificity differential (R−C)+11.1
Confounder panel (Type-II drivers)
1sepsis / systemic inflammationmag 2
2anemia / acute blood lossn/a
3hypovolemia / dehydrationn/a
4tachyarrhythmiamag 1
5hypoxemia / respiratory failuren/a
6hypertensive emergencyn/a
7high-demand / peri-operative stressmag 2
Coverage: 3/7 confounders with evidence
Tier: deep-scored (abstract-extracted) · 17 supporting references. See the discrimination table for all markers.
Assay & specimen
Class-level default (no specific cleared assay)— generic method inferred from analyte class; confirm against a specific product insert before use.
Specimen
Whole blood — gene is not a circulating analyte; measure protein product or genotype
Collection tube
K2-EDTA whole blood (lavender-top)
Method / principle
SNP genotyping / sequencing; or immunoassay of encoded protein
Reagent / substrate
Allele-specific primers/probes (TaqMan) or NGS panel; or antibody for protein
Platform
qPCR / NGS / array
Turnaround · availability
Send-out · Genotyping widely available; protein assay variable
Literature evidence(8)
- Vitamin D deficiency enhances platelet activation and thrombosis by regulating VDR/Akt pathway based on platelet proteomics.European journal of pharmacology · 2025 · PMID 40315949 · doi
- Leonurine improves atherosclerosis by activating foam cell autophagy and metabolic remodeling via METTL3-mediated AKT1S1 mRNA stability modulation.Phytomedicine : international journal of phytotherapy and phytopharmacology · 2024 · PMID 39214016 · doi
- Lipidomics of triglyceride-rich lipoproteins derived from hyperlipidemic patients on inflammation.European journal of clinical investigation · 2023 · PMID 38010694 · doi
- , a coronary artery disease risk gene, mediates endothelial dysfunction.Frontiers in immunology · 2022 · PMID 36091033 · doi
- Esculetin, a Coumarin Derivative, Prevents Thrombosis: Inhibitory Signaling on PLCγ2-PKC-AKT Activation in Human Platelets.International journal of molecular sciences · 2019 · PMID 31163690 · doi
- Gintonin modulates platelet function and inhibits thrombus formation via impaired glycoprotein VI signaling.Platelets · 2018 · PMID 29870296 · doi
- Distal coronary embolization following acute myocardial infarction increases early infarct size and late left ventricular wall thinning in a porcine model.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2015 · PMID 26620277 · doi
- Pharmacological approaches to improve endothelial repair mechanisms.Expert review of cardiovascular therapy · 2008 · PMID 18793110 · doi