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Fig. 2. Integrin-mediated resistance to stress-induced apoptosis via the
Ras-PI-3-kinase-Akt pathway. Cell stresses such as serum withdrawal result in
the localization of proapoptotic Bcl-2 family proteins, such as Bad (or Bod or
Bax), at the mitochondria, which results in cytochrome C leakage and
Apaf-1-mediated assembly of the caspase-9-containing apoptosome complex.
Ras-mediated activation of PI 3-kinase triggers the phosphorylation of Akt
through the functions of phosphoinositide-dependent kinases (PDKs), such as
PDK1, PDK2 and ILK. Akt then acts as a central regulator of cell survival,
phosphorylating mTOR (and E4BP, allowing iEF-4E activation of CAP-dependent
translation; not shown), while also phosphorylating the proapoptotic protein
Bad, leading to displacement from the mitochondria and sequestration by
chaperones of the 14-3-3 family. Akt also potentiates the transactivating
potential of NFkB, leading to the increased expression of NFkB target genes,
including Bcl-2 and Bcl-xl., Akt signaling is attenuated by the
action of phosphatases such as PTEN.
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