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Updated: Jun 3, 2026

Mechanism of Regulation of Adipocyte Numbers in Adult Organisms Through Differentiation and Apoptosis Homeostasis
Published on: June 3, 2016
Akt, FoxO and regulation of apoptosis
Xinbo Zhang1, Naimei Tang, Timothy J Hadden
1Karmanos Cancer Institute, Wayne State University, Detroit, MI 48201, USA.
Abstract:
Forkhead box O (FoxO) transcription factors are downstream targets of the serine/threonine protein kinase B (PKB)/Akt. The Akt kinase regulates processes of cellular proliferation and survival. Phosphorylation of FoxOs by Akt inhibits transcriptional functions of FoxOs and contributes to cell survival, growth and proliferation. Emerging evidence suggests involvement of FoxOs in diverse intracellular signaling pathways with critical roles in a number of physiological as well as pathological conditions including cancer. The FoxO signaling is regulated by their interactions with other intracellular proteins as well as their post-translational modifications such as phosphorylation. FoxOs promote cell growth inhibitory and/or apoptosis signaling by either inducing expression of multiple pro-apoptotic members of the Bcl2-family of mitochondria-targeting proteins, stimulating expression of death receptor ligands such as Fas ligand and tumor necrosis factor-related apoptosis-inducing ligand (TRAIL), or enhancing levels of various cyclin-dependent kinase inhibitors (CDKIs). Coupled with their ability to cross-talk with p53, FoxOs represent an important class of tumor suppressors in a variety of cancers. This review summarizes our current understanding of mechanisms by which Akt and FoxOs regulate cell growth and survival that in turn offers opportunities for development of novel strategies to combat cancer. This article is part of a Special Issue entitled: P13K-AKT-FOxO axis in cancer and aging.
Insights
The Akt-FoxO pathway regulates cell survival and proliferation. Understanding this signaling axis offers new strategies for developing cancer therapies by targeting cell growth and apoptosis.
Area of Science:
- Molecular Biology
- Cell Signaling
- Oncology
Background:
- Forkhead box O (FoxO) transcription factors are key regulators of cellular processes.
- The serine/threonine protein kinase B (PKB)/Akt pathway influences cell proliferation and survival.
- Akt-mediated phosphorylation of FoxOs inhibits their function, promoting cell survival and proliferation.
Purpose of the Study:
- To review the mechanisms by which Akt and FoxO signaling regulate cell growth and survival.
- To explore the role of the Akt-FoxO axis in cancer.
- To identify potential therapeutic strategies targeting this pathway for cancer treatment.
Main Methods:
- Literature review of studies on Akt and FoxO signaling pathways.
- Analysis of the role of FoxO transcription factors in apoptosis and cell cycle regulation.
- Examination of the cross-talk between FoxOs and other tumor suppressors like p53.
Main Results:
- FoxOs induce apoptosis by upregulating pro-apoptotic proteins (Bcl2-family, Fas ligand, TRAIL) and cyclin-dependent kinase inhibitors (CDKIs).
- FoxO signaling is crucial in various physiological and pathological conditions, including cancer.
- The Akt-FoxO axis plays a critical role in tumor suppression and progression.
Conclusions:
- The Akt-FoxO pathway is a critical regulator of cell fate, impacting cancer development and progression.
- Targeting the Akt-FoxO signaling axis presents promising avenues for novel cancer therapies.
- Further research into this pathway can lead to innovative strategies for combating cancer and aging.
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