Controlled maturation of ovarian follicles is necessary for fertility. Follicles are restrained at an immature stage until stimulated by FSH secreted by pituitary gonadotropes. FSH acts on granulosa cells within the immature follicle to inhibit apoptosis, promote proliferation, stimulate production of steroid and protein hormones, and induce ligand receptors and signaling intermediates. The phosphoinositide 3-kinase (PI3K)/AKT (protein kinase B) pathway is a pivotal signaling corridor necessary for transducing the FSH signal. We report that protein kinase A (PKA) mediates the actions of FSH by signaling through multiple targets to activate PI3K/AKT. PKA uses a route that promotes phosphorylation of insulin receptor substrate-1 (IRS-1) on Tyr
989, a canonical binding site for the 85-kDa regulatory subunit of PI3K that allosterically activates the catalytic subunit. PI3K activation leads to activation of AKT through phosphorylation of AKT on Thr 308 and Ser
473. The adaptor growth factor receptor bound protein 2-associated binding protein 2 (GAB2) is present in a preformed complex with PI3K heterodimer and IRS-1, it is an A-kinase anchoring protein that binds the type I regulatory subunit of PKA, and it is phosphorylated by PKA on Ser
159. Overexpression of GAB2 enhances FSHstimulated AKT phosphorylation. GAB2, thus, seems to coordinate signals from the FSH-stimulated rise in cAMP that leads to activation of PI3K/AKT. The ability of PKA to commandeer IRS-1 and GAB2, adaptors that normally integrate receptor/nonreceptor tyrosine kinase signaling into PI3K/AKT, reveals a previously unrecognized route for PKA to activate a pathway that promotes proliferation, inhibits apoptosis, enhances translation, and initiates differentiation of granulosa cells. F ertility in females requires controlled maturation of the oocyte and supporting theca and granulosa cells (GCs) that comprise the ovarian follicle. Follicles are restrained at the preantral stage until they are stimulated by FSH synthesized and secreted from pituitary gonadotropes. FSH directs GCs to proliferate and produce steroid hormones, such as estrogen and progesterone, protein hormones, including inhibin, and growth factors, such as VEGF. These hormones and growth factors not only regulate oocyte maturation and support the growth and differentiation of follicles but also regulate uterine receptivity and provide feedback to the hypothalamus and pituitary (reviewed in ref. 1). In response to FSH, follicles develop to a mature preovulatory stage competent to receive the surge of luteinizing hormone (LH) that promotes ovulation and terminal differentiation of GCs and theca cells to luteal cells.FSH signals through its surface G protein-coupled receptor (GPCR) localized to GCs (2). A crucial pathway by which FSH signals is the PI3K pathway that leads to the phosphorylation and activation of the nodal kinase AKT (protein kinase B). Studies using dominant negative and constitutively active AKT showed that the AKT pathway is necessary but not sufficient for activation of...