This study identified a mosaic activating mutation in the AKT1 gene associated with Proteus syndrome. Researchers sequenced DNA from tissue samples of 29 patients with Proteus syndrome and identified a recurrent somatic mutation, c.49G>A, in the AKT1 gene in 26 patients. This mutation leads to increased phosphorylation and activation of the AKT1 protein. Western blot analysis showed increased phosphorylation of AKT1 in tissues affected by Proteus syndrome. The findings link activation of the AKT1 signaling pathway through somatic mutations to overgrowth observed in Proteus syndrome patients.