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Fig. 1. Signaling pathways for cell growth. Cell growth is stimulated by insulin or insulin-like growth factors (IGF) binding to their receptors (IRS). The activated receptor recruits phosphatidylinositol 3-OH kinase [PI(3)K] to the membrane, which then phosphorylates PtdIns(4,5)P2, converting it to PtdIns(3,4,5)P3. Increased levels of PtdIns(3,4,5)P3 induce the activation of phosphoinositide-dependent protein kinase 1 (PDK1), which then stimulates 40S ribosomal protein S6 kinase (S6K). S6K mediates the phosphorylation of 40S ribosomal protein S6, which is thought to potentiate the recruitment of ribosomal-protein mRNAs from stores of messenger ribonucleoproteins (mRNps) to actively translating polysomes.