Abstract. aKt is a serine/threonine kinase activated downstream of integrin, which is a receptor for various pro-proliferation and bioactive substances as well as the extracellular matrix receptor. the activation of aKt often contributes to tumorigenesis and plays a role in regulating cell motility, which is critical for local invasion and metastasis. in recent years, it has also drawn attention as a target of new molecular-targeted agents. When analyzing the role of aKt in cancer cells, it is important to consider the microenvironment and variations of cancers. in this review, a basic overview of the role of aKt in normal and malignant tissues is provided, along with an in-depth discussion of its role in gastric cancer and its potential as a target for therapy.
Contents1. introduction 2. What is aKt? 3. aKt and the pro-survival effect 4. aKt signal transduction in cancer cells 5. the activion of various cancer cells by aKt 6. the Pi3K-aKt-mtor pathway and its activation in gastric cancer 7. htert 8. the concurrent effects of paKt and htert on the progression of gastric cancer 9. relationships among the levels of paKt and inoS, nt and htert in gastric mucosa 10. conclusion
IntroductionaKt signaling pathways are related to the suppression of apoptosis, proliferation and metastasis of cells, angiogenesis and various other processes (1). aKt is involved in the proliferation of cells via its phosphorylation of cyclin D1, and promotes the phosphorylation of BaD and caspase-9 which is associated with apoptosis. By inhibiting these molecules (BaD and caspase-9), aKt suppresses apoptosis. aKt plays an important role in the chemosensitivity to various agents, because it prevents the normal apoptotic response to treatment. aKt is also deeply involved in angiogenesis and the invasion of cancer cells into surrounding tissues through vascular endothelial growth factor (Vegf) and MMP (2,3). the mechanism regulating phosphatidylinositol-3 kinase (Pi3K)/aKt has been shown to be abnormal in various solid carcinomas and hematological neoplasms. the overexpression of aKt at the Dna or protein level has been reported in breast cancer and stomach cancers (1); thus, aKt has drawn attention as a target for the development of new molecular-targeted cancer therapeutic agents. in this review, a basic overview of the role of aKt in normal and malignant tissues is provided, along with an in-depth discussion of its role in gastric cancer and its potential as a target for therapy.
What is AKT?aKt is a serine/threonine kinase activated at downstream of integrin, which is a receptor for various pro-proliferation and bioactive substances (receptor tyrosine kinases and g protein-coupled receptors) as well as extracellular matrix receptor. aKt has three isoforms, with aKt1 and aKt2 being expressed ubiquitously, while the expression of aKt3 occurs in limited tissues (brain and testes). all three isoforms are composed of a pleckstrin homology (PH) domain, linker domain, kinase domain and c-terminal hydrophobic domain. following the activation of Pi...