Related Experiment Video
Updated: Aug 26, 2025

Author Spotlight: Exploring the Role of Inflammation in the Co-occurrence of Primary Sjogren's Syndrome and Lung Adenocarcinoma
Published on: September 20, 2024
Live and let die: signaling AKTivation and UPRegulation dynamics in SARS-CoVs infection and cancer
Mariana Suaya1,2, Gonzalo Manuel Sánchez1,2, Antonella Vila1,2
1Departamento de Fisiología, Biología Molecular y Celular, Facultad de Ciencias Exactas y Naturales (FCEN), Universidad de Buenos Aires (UBA), Buenos Aires, Argentina.
Abstract:
The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the pathogen responsible for the coronavirus disease 2019 (COVID-19) pandemic. Of particular interest for this topic are the signaling cascades that regulate cell survival and death, two opposite cell programs whose control is hijacked by viral infections. The AKT and the Unfolded Protein Response (UPR) pathways, which maintain cell homeostasis by regulating these two programs, have been shown to be deregulated during SARS-CoVs infection as well as in the development of cancer, one of the most important comorbidities in relation to COVID-19. Recent evidence revealed two way crosstalk mechanisms between the AKT and the UPR pathways, suggesting that they might constitute a unified homeostatic control system. Here, we review the role of the AKT and UPR pathways and their interaction in relation to SARS-CoV-2 infection as well as in tumor onset and progression. Feedback regulation between AKT and UPR pathways emerges as a master control mechanism of cell decision making in terms of survival or death and therefore represents a key potential target for developing treatments for both viral infection and cancer. In particular, drug repositioning, the investigation of existing drugs for new therapeutic purposes, could significantly reduce time and costs compared to de novo drug discovery.
Insights
The AKT and Unfolded Protein Response (UPR) pathways control cell survival and death, crucial in SARS-CoV-2 infection and cancer. Their crosstalk offers a unified target for new antiviral and anticancer therapies, potentially using drug repositioning.
Area of Science:
- Molecular Biology
- Virology
- Oncology
Background:
- Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causes COVID-19, impacting cell survival and death.
- The AKT and Unfolded Protein Response (UPR) pathways are vital for cell homeostasis and are implicated in viral infections and cancer.
- Cancer is a major comorbidity of COVID-19, highlighting the need to understand shared molecular mechanisms.
Purpose of the Study:
- To review the roles of AKT and UPR pathways in SARS-CoV-2 infection.
- To examine the involvement of AKT and UPR pathways in cancer development and progression.
- To explore the crosstalk between AKT and UPR pathways as a potential therapeutic target.
Main Methods:
- Literature review of existing research on AKT and UPR pathways.
- Analysis of molecular mechanisms linking these pathways to SARS-CoV-2 infection.
- Investigation of the pathways' roles in tumorigenesis and progression.
Main Results:
- The AKT and UPR pathways are deregulated during SARS-CoV-2 infection and in cancer.
- Evidence suggests a unified homeostatic control system involving crosstalk between AKT and UPR.
- Feedback regulation between these pathways is a master control of cell fate (survival/death).
Conclusions:
- The interaction between AKT and UPR pathways is a critical regulator of cell survival and death.
- This crosstalk represents a promising therapeutic target for both SARS-CoV-2 infection and cancer.
- Drug repositioning offers a cost-effective strategy for developing treatments targeting these pathways.
Related Concept Videos
Interactions Between Signaling Pathways
Convergence and divergence, and cross-talk between signaling pathways
Two distinct signaling pathways can converge on a single functional unit, which may either be a single protein or a complex of proteins. The response is either functionally distinct or synergistic between the two pathways but different from the response...
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
Rous Sarcoma Virus (RSV) and Cancer
RSV is a retrovirus that contains two copies of a plus-strand RNA genome. Its genome consists of four main open...
The JAK-STAT Signaling Pathway
Abnormal Proliferation
Diversity in Cell Signaling Responses
Graded and Abrupt Responses
Some signaling systems generate...

