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Fig. 5. Regulation of protein synthesis and cell growth by AMPK and PKB/Akt by the mTOR pathway. Cellular stresses activate AMPK because the increase in AMP promotes its phosphorylation by LKB1; whereas growth factors activate PKB/Akt because the increase in phosphatidylinositol (3,4,5)-trisphosphate [PtdIns(3,4,5)P3] promotes its phosphorylation by PDK1. AMPK and PKB/Akt phosphorylate TSC2 at different sites, and this stimulates or inhibits, respectively, the ability of the TSC1-TSC2 complex to inhibit TOR. Amino acids also stimulate TOR through the TSC complex. TOR in turn stimulates protein synthesis, and hence cell growth, through ribosomal protein S6 kinase 1 (S6K1) and elongation factor-4E binding protein 1 (4E-BP1). The molecular events immediately upstream and downstream of TOR in this pathway are not shown in detail and remain incompletely understood.





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