The phosphoinositide phosphatase PTEN is mutated in many human cancers. Although the role of PTEN has been studied extensively, the relative contributions of its numerous potential downstream effectors to deregulated growth and tumorigenesis remain uncertain. We provide genetic evidence in Drosophila melanogaster for the paramount importance of the protein kinase Akt [also called protein kinase B (PKB)] in mediating the effects of increased phosphatidylinositol 3,4,5-trisphosphate (PIP3) concentrations that are caused by the loss of PTEN function. A mutation in the pleckstrin homology (PH) domain of Akt that reduces its affinity for PIP3 sufficed to rescue the lethality of flies devoid of PTEN activity. Thus, Akt appears to be the only critical target activated by increased PIP3 concentrations in Drosophila.Mutations in the tumor suppressor gene PTEN (the phosphatase and tensin homolog on chromosome 10) are frequent in glioblastomas, endometrial carcinoma, melanomas, and prostate cancer (1). Furthermore, two dominant hamartoma syndromes, Cowden disease and Bannayan-Zonana syndrome, are linked to germ line mutations in PTEN (1). The PTEN protein carries a phosphatase domain resembling those of dual-specificity protein phosphatases (2-4 ). Although it can dephosphorylate protein substrates such as focal adhesion kinase (5) and the adapter protein Shc (6), PTEN's predominant enzymatic activity appears to be the dephosphorylation of phosphoinositides at the D3 position. Because PTEN uses the second messenger PIP3 as a substrate, PTEN antagonizes the function of phosphatidylinositol-3 kinase (PI3K) (7,8). Immortalized mouse embryonic fibroblasts or embryonic stem cells lacking PTEN function show an approximately twofold increase in PIP3 concentrations (9, 10). PIP3 interacts with a wide variety of PH domain-containing proteins, including the serine-threonine kinases Akt (also called PKB) and phosphoinositide-dependent kinase 1 (PDK1), Btk family tyrosine kinases, guanine nucleotide exchange factors for the Rho and Arf families of small guanosine triphosphatases, and phospholipase C␥ (11,12). The plethora of proteins that are potentially regulated by PIP3 provides widespread signaling potential for this lipid second messenger.Genetic analyses in model organisms have implicated PTEN as a negative regulator of insulin receptor signaling. In the nematode Caenorhabditis elegans, PTEN antagonizes the activity of the PI3K AGE-1 in the regulation of metabolism, development, and life span (13-16). In the fruit fly Drosophila melanogaster, PTEN counteracts signaling downstream of the insulin receptor to control cellular growth (17-19). There are, however, Transfected cells were starved for 24 hours before stimulation with insulin for the indicated time periods, and dAkt kinase activity was determined (44). The activity of wild-type dAkt from unstimulated cells was considered to be relative activity ϭ 1.