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Extracellular and Intracellular Signaling (книга).pdf
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One Receptor for Multiple Pathways: Focus on Leptin Signaling

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3.3.3PI3K/AKT

Another important signaling pathway elicited by leptin-receptor activation is the PI3K pathway. Supporting this idea is the fact that pharmacological blockade of PI3K activity blunted leptin anorectic e ect.52 This pathway is initiated by the JAK2 tyrosine phosphorylation of insulin receptor substrate 1/2 independently of leptin receptor phosphotyrosine residues.52 The next step, downstream of IRS phosphorylation, is the recruitment and activation of PI3K, which in turn involves the accumulation of phosphatidylinositol 3,4,5-triphosphate (PI3P).18,53 PIP3 activation leads to the subsequent activation of 3-phosphoinositide-dependent protein kinase1 (PDK1) and AKT. The last step in this signaling pathway is the repression of the transcription factor FOXO1, which is a member of the forkhead transcription-factor family and has been related with several activities of leptin signaling.54

In line with these facts, it has also been described that leptin signaling involves lipid phosphatase PTEN. This phosphatase plays a key role in PI3K activity since it has been reported that PTEN is able to inhibit PI3K signaling.55 In this sense, Ning et al. reported that leptin induced the phosphorylation of PTEN, which blunted the inhibitory e ect of this phosphatase.55 In line with leptin-mediated PTEN inhibition, very recently it has been described that this phosphorylation mediated activation of ATP-sensitive Kþ channels.56 In agreement with these results, neurons of PTEN knockout mice showed increased ATP-sensitive Kþ channel activity.57

Several other functions have been associated with PI3K activation upon leptin receptor stimulation, including control of energy homeostasis.58 Regarding this function, very recently it has been reported that PI3K signaling, in the ventromedial hypothalamic nuclei, is required for the anorexigenic e ects induced by exogenous leptin administration.59 Moreover, this pathway has also been involved in the control of glucose metabolism. Actually, in POMC neurons, a decrease in PI3K signaling resulted in impaired glucose regulation.60 In addition to these functions, leptin also controls cell fate through the PI3K signaling pathway. In this sense, it has been determined that leptin promoted cell proliferation and inhibited apoptosis in large B cell lymphoma and in papillary thyroid cancer cells.61,62

3.3.4AMPK

In addition to all the above-mentioned signaling pathways elicited by the leptin receptor, it is noteworthy that leptin receptor activation has the ability to modulate the adenosine 50 monophosphate-activated protein kinase (AMPK) signaling pathway. This kinase is a regulator of cellular and systemic energy homeostasis, although it has also been involved in the control of cell proliferation.63,64

The role of leptin on AMPK activation has a tissue specific pattern. Leptin induces AMPK activity in liver and muscle,65,66 whereas it inhibits AMPK

activation at the hypothalamic level.67,68 Kola et al. have suggested that

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