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Published on: May 4, 2021
How moderate changes in Akt T-loop phosphorylation impact on tumorigenesis and insulin resistance
Stephan Wullschleger1, Kei Sakamoto, Lana Johnstone
1MRC Protein Phosphorylation Unit, College of Life Sciences, University of Dundee, Dundee DD1 5EH, UK.
Abstract:
The Akt signalling pathway plays vital roles in controlling cellular responses to insulin as well as in proliferation and survival. Inhibition of Akt signalling leads to insulin resistance and type 2 diabetes, whereas hyperactivation of Akt promotes tumorigenesis. In this study, we investigate how modest changes in the activity of the Akt signalling pathway, to an extent that might be achieved by drug treatment, would impact on insulin resistance and tumorigenesis. Using insulin-resistant PDK1(K465E/K465E) PH domain knock-in mice, we found that introducing the PTEN(+/-) mutation to slightly stimulate Akt restored normal insulin sensitivity. Introducing the PDK1(K465E/K465E) PH domain knock-in mutation into cancer-prone PTEN(+/-) mice, lowered Akt activity only by about 50%, but led to a delay in tumour onset of ∼4 months in a broad range of tumours. This was also accompanied by slower growth of B cell follicular lymphomas, as monitored by magnetic resonance imaging. Our findings imply that signal transduction inhibitors that lead to a modest reduction in Akt activity would not only delay onset of tumours possessing elevated phosphoinositide 3-kinase pathway activity but would also reduce the growth rate of developed tumours.
Insights
Modestly reducing Akt signalling activity in mice improved insulin sensitivity and delayed tumor onset and growth. This suggests targeted Akt pathway inhibition could treat insulin resistance and cancer.
Area of Science:
- Biochemistry
- Molecular Biology
- Oncology
Background:
- The Akt signalling pathway is crucial for insulin response, cell proliferation, and survival.
- Dysregulation of Akt activity is linked to insulin resistance, type 2 diabetes, and cancer.
- Understanding the impact of modest Akt modulation is key for therapeutic development.
Purpose of the Study:
- To investigate the effects of moderate Akt pathway modulation on insulin resistance and tumorigenesis.
- To assess the therapeutic potential of targeting Akt signalling for metabolic and oncological conditions.
Main Methods:
- Utilized PDK1(K465E/K465E) PH domain knock-in mice to model insulin resistance.
- Introduced PTEN(+/-) mutations to modulate Akt activity.
- Assessed tumour onset and growth in genetically engineered mouse models using magnetic resonance imaging.
Main Results:
- Slightly stimulating Akt in insulin-resistant mice restored normal insulin sensitivity.
- A ~50% reduction in Akt activity in cancer-prone mice delayed tumour onset by approximately 4 months.
- Slower growth of B cell follicular lymphomas was observed in treated mice.
Conclusions:
- Modest reductions in Akt activity can restore insulin sensitivity.
- Targeting the Akt pathway with signal transduction inhibitors may offer a dual therapeutic strategy for insulin resistance and cancer.
- Inhibitors that moderately decrease Akt activity could delay tumourigenesis and slow the growth of existing tumours.
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