n
this in-cites essay, Professor Sir Philip Cohen of the
University of Dundee talks about his highly cited
investigations of one of the major pathways of insulin signal
transduction. Professor Cohen is currently the second
most-cited scientist in the field of Biology &
Biochemistry in the ISI
Essential
Science Indicators
Web product, with 192 papers cited a total of 14,186 times to
date. Professor Cohen also has 44 papers cited a total of
5,434 times to date in the field of Molecular Biology &
Genetics. At the University of Dundee, Professor Cohen is the
head of the MRC Protein Phosphorylation Unit in the Division
of Cell Signalling, School of Life Sciences.
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Dissection
of one of the major pathways of insulin signal transduction
The
discovery of insulin in 1921 and its spectacular effects on Type-1
diabetics must rank as one of the greatest medical advances of the 20th
century. However, understanding the way in which insulin signals to
the cell interior proved a far more difficult nut to crack and, even
60 years later, was still a complete mystery. Then in 1982, Ron Kahn
showed that the insulin receptor was a protein tyrosine kinase which
becomes active and phosphorylates itself upon binding to insulin.
Later, he and Morris White established that receptor
autophosphorylation is followed by the recruitment and phosphorylation
of insulin receptor substrate 1 (IRS1) which, in turn, recruits
phosphatidylinositol 3-kinase (PI 3-kinase) to the plasma membrane.
This enzyme, which converts PI(4,5)P2 (a minor inositol phospholipid
in the plasma membrane) to PI(3,4,5)P3, was discovered in the late
1980s by Lew Cantley in a completely different context. Following the
identification of a relatively specific inhibitor of PI 3-kinase (wortmannin)
by Michio Ui and his colleagues in the early 1990s, this compound was
found to block nearly all the metabolic actions of insulin, indicating
that PI(3,4,5)P3 was likely to be the long sought after "second
messenger" for insulin. However, how PI(3,4,5)P3 mediated the
intracellular actions of insulin was unclear.
My own research on insulin signalling began in late
1973, when I decided to follow up seminal findings made by Joseph
Larner about a decade earlier. His studies had revealed that, within
minutes, insulin triggers the activation of glycogen synthase, an
enzyme which catalyses the last step in the synthesis of glycogen.
This facilitates the conversion of glucose to glycogen, one of the
major metabolic actions of insulin. Larner also showed that activation
results from the conversion of glycogen synthase to a less highly
phosphorylated state. Thus, it was already clear that insulin must
induce the inhibition of a protein kinase and/or the activation of a
protein phosphatase acting on glycogen synthase. My first postdoctoral
fellow, Hugh Nimmo, and third graduate student, Chris Proud, were put
to work on this problem and their studies soon revealed that the
regulation of glycogen synthase was surprisingly complex, involving
several phosphorylation sites and at least two protein kinases. Then,
in 1979, my student Noor Embi identified a novel protein kinase
capable of phosphorylating and inactivating glycogen synthase in
vitro, and which we termed glycogen synthase kinase 3 (GSK3) [1].
This enzyme was purified to homogeneity and characterised by Brian
Hemmings, a postdoctoral fellow, and by Jim Woodgett, a graduate
student. Peter Parker, another postdoctoral fellow, then made the key
demonstration that most of the phosphate released from glycogen
synthase in vivo in response to insulin is removed from the
serine residues that are targeted by GSK3 in vitro [2]. This
result implied that insulin must exert its effect on glycogen synthase
by inducing the inhibition of GSK3 and/or by activating a protein
phosphatase. The relevant phosphatase was later identified as a
glycogen-associated form of protein phosphatase-1 by Peter Stralfors,
a postdoctoral fellow ([3], reviewed in [4]).
In the early 1990s Jim Woodgett and Chris Proud,
who had by now set up their own research groups, independently
demonstrated that GSK3 was indeed inhibited acutely by insulin [5, 6].
Chris Proud [6] found that the insulin-induced inhibition of GSK3
could be reversed by treatment with a serine/threonine-specific
protein phosphatase. My student Darren Cross then made the key
observation that the PI 3-kinase inhibitor wortmannin prevented the
insulin-induced inhibition of GSK3 [7]. Thus it started to become
clear that PI(3,4,5)P3 must trigger the activation of a protein kinase,
which then phosphorylated and inhibited GSK3.
Calum Sutherland, another graduate student, found
that two insulin-stimulated protein kinases, termed MAPKAP-K1 and p70
S6 kinase both inhibited GSK3 in vitro by phosphorylating a
specific serine residue [8, 9]. However, surprisingly, Darren Cross
then showed that two different drugs, PD 98059 and rapamycin, which
prevent the activation of MAPKAP-K1 and p70 S6 kinase, respectively,
had no effect on the insulin-induced inhibition of GSK3 [10]. By
incubating cells in the presence of both PD 98059 and rapamycin,
Darren was then able to reveal the presence of a further
insulin-stimulated protein kinase capable of inactivating GSK3.
At this juncture Brian Hemmings, who had set up his
own laboratory at the Friedrich-Miescher Institute in Basel,
Switzerland, returned to Dundee to examine the thesis of a graduate
student. After Brian was shown our data, he suggested that the novel
insulin-stimulated protein kinase might be protein kinase B (PKB, also
called AKT), because he was aware of work to be published shortly
which would demonstrate that PKB was activated by insulin or growth
factors via a PI(3,4,5)P3-dependent pathway [11, 12]. Fortunately,
Brian was also able to provide an anti-PKB antibody to test this idea.
This enabled Darren to rapidly establish that the new activity could
indeed be immunoprecipitated by this antibody [10].
The next step was clearly to discover how PKB was
activated. Dario Alessi, a postdoctoral fellow in the lab, found that
the insulin-induced activation of PKB was accompanied by its
phosphorylation at two sites, Thr308 and Ser473. Moreover activation
and phosphorylation were both prevented by wortmannin and reversed by
treatment with PP2A [13]. Dario was then able to detect and purify a
further protein kinase capable of activating PKB in vitro.
Excitingly, this protein kinase was only able to activate PKB in the
presence of lipid vesicles containing PI(3,4,5)P3 and we therefore
called it 3-phosphoinositide-dependent protein kinase-1 (PDK1) [14].
PDK1 was the missing link in the chain of events by which insulin,
acting via PI(3,4,5)P3, activates glycogen synthase, and its discovery
launched Dario's independent research career. Dario went on to clone
PDK1 showing that, like PKB, it contains a pleckstrin homology (PH)
domain [15]. We now know that PI(3,4,5)P3 interacts with the PH
domains of PKB and PDK1, co-localising these enzymes at the plasma
membrane and allowing PDK1 to activate PKB [16, 17]. Dario's group
also showed that the activation of PKB does not occur in cells that
lack PDK1, providing genetic evidence for the essential role of PDK1
in the pathway [18].
We demonstrated that PKB has a restricted
specificity, only phosphorylating serine and threonine residues that
lie in Arg-Xaa-Arg-Xaa-Xaa-Ser/Thr- sequences (where Xaa is any amino
acid) [19]. This facilitated the identification of further key
physiological substrates of PKB, such as FKHR (recently renamed
FOXO-1) [20, 21] and related transcription factors. We, and others,
also found that PDK1 activates a number of other protein kinases of
the "AGC subfamily," such as isoforms of protein kinase C (PKC)
[22] and the serum and glucocorticoid-regulated protein kinase (SGK)
[23, 24]. The finding that PDK1 switches on a number of protein
kinases, each of which have multiple substrates, helps to explain how
so many actions of insulin can be mediated by PI(3,4,5)P3.
The identification of PDK1 in early 1997, more than
23 years after I first started to work on insulin signalling, was a
momentous event for my laboratory. The delineation, at least in
outline, of one of the major pathways of insulin signal transduction
offers new opportunities to overcome the resistance to insulin that
can lead to Type-II diabetes, and intense efforts to develop such
drugs are underway in many pharmaceutical companies. However, the
PDK1-PKB-GSK3 "cascade" is switched on by growth factors, as
well as by insulin, delivering an anti-apoptotic signal that is
crucial for the survival of many cancer cells. For this reason there
is also enormous interest in developing inhibitors of this pathway as
anti-cancer drugs.
Of course, many unsolved problems remain. For
example, PDK1 only phosphorylates PKB at Thr308, and the protein
kinase that phosphorylates PKB at Ser473 (provisionally termed PDK2)
has yet to be identified. Many of the key substrates of PKB and the
other protein kinases that are activated by PDK1 have yet to be
identified. Finally, it remains entirely possible that the stimulation
of glycogen synthase by insulin involves the activation of a
phosphatase that dephosphorylates glycogen synthase, as well as the
inhibition of GSK3. Many laboratories are now working on these and
other outstanding questions and an even clearer picture will
undoubtedly emerge over the next few years.
References.
- Embi, N.,
Rylatt, D.B. and Cohen, P. (1980) Eur.J.Biochem.107,
519-527."Glycogen synthase kinase-3 from rabbit skeletal
muscle and phosphorylation of glycogen
synthase by three different protein kinases".
- Parker, P.J.,
Caudwell, F.B. and Cohen, P. (1983) Eur. J. Biochem. 130,
227-234. "Glycogen synthase from rabbit skeletal muscle:
effects of insulin on the state of phosphorylation of the seven
phosphoserine residues in vivo'.
- Strålfors,P.,
Hiraga, A. and Cohen P. (1985) Eur.J.Biochem.149,
295-303. "The protein phosphatases involved in cellular
regulation: Purification and characterisation of the
glycogen-bound form of protein phosphatase-1 from rabbit skeletal
muscle
- Hubbard, M. J. and
Cohen, P (1993) TIBS. 18, 172-177. "The
regulation of protein phosphatases and protein kinases by
targeting subunits".
- Hughes, K.,
Ramakrishna, S., Benjamin, W.B. and Woodgett, J.R. (1992) Biochem.
J. 288, 309-314. Identification of multifunctional ATP-citrate
lyase kinase as the α-isoform of glycogen synthase
kinase-3."
- Welsh, G.I. and
Proud, C.G. (1993) Biochem J. 294, 625-629. "Glycogen
synthase kinase-3 is rapidly inactivated in response to insulin
and phosphorylates eukaryotic initiation factor eIF2B."
- Cross, D.A.E.,
Alessi, D.R., Vandenheede, J.R., McDowell, H., Harinder, S. and
Cohen, P. (1994) Biochem. J. 303, 21-26. "The
inhibition of glycogen synthase kinase-3 by insulin or IGF-1 in
the rat skeletal muscle cell line L6 is blocked by wortmannin, but
not by rapamycin: evidence that wortmannin blocks activation of
the MAP kinase pathway in L6 cells between Ras and Raf."
- Sutherland, C.,
Leighton, I. and Cohen, P. (1993) Biochem. J. 296,
15 - 19. "Inactivation of glycogen synthase kinase-3 by
phosphorylation; new kinase connections in insulin and growth
factor signalling".
- Sutherland, C. and
Cohen, P. (1994) FEBS Lett. 338, 37-42 " The
α-isoform of glycogen synthase kinase-3 from rabbit skeletal
muscle is inactivated by p70 S6 kinase or MAP kinase-activated
protein kinase-1 in vitro".
- Cross, D.A.E.,
Alessi, D.R., Cohen, P., Andjelkovic, M. and Hemmings, B. (1995) Nature
378, 785-789 "Inhibition of glycogen synthase kinase-3
by insulin is mediated by Akt/PKB."
- Franke, T.F.,
Yang, S.I., Chan, T.O., Datta, K., Kazlauskas, A., Morrison, D.K.,
Kaplan, D.R. and Tsichlis, P.N. (1995) Cell 81, 727-736.
"The protein kinase encoded by the AKT proto-oncogene is a
target of the PDGF-activated phosphatidylinositol 3-kinase."
- Burgering, B.M.Th.
and Coffer, P.J. (1995) Nature 376, 599-602. "Protein
kinase B (c-AKT) in phosphatidylinositol-3-OH kinase signal
transduction."
- Alessi, D.R.,
Andjelkovic, M., Caudwell, B., Cron, P., Morrice, N., Cohen, P.
and Hemmings, B. (1996) EMBO J. 15, 6541-6551.
"Mechanism of activation of protein kinase B by insulin and
IGF-1".
- Alessi, D.R.,
James, S.R., Downes, C.P., Holmes, A.B., Gaffney, P.R.J., Reece,
C.B. and Cohen, P. (1997) Curr. Biol. 7, 261-269.
"Characterization of a 3-phosphoinositide-dependent protein
kinase which phosphorylates and activates protein kinase Bα".
- Alessi, D.R., Deak,
M., Casamayor, A., Caudwell, F.B., Morrice, N., Norman, D.G.,
Gaffney, P., Reese, C.B., MacDougall, C.N., Harbison, D.,
Ashworth, A. and Bownes, M. (1997) Curr. Biol. 7, 776-789.
"3-phosphoinositide-dependent protein kinase-1 (PDK1):
structural and functional homology with the Drosophila DSTPK61
kinase."
- Andjelkovic, M.,
Alessi, D.R., Meier, R., Fernandez, A., Lamb, N.J.C., Frech, M.,
Cron, P., Cohen, P., Lucocq, J.M. and Hemmings, B.A. (1997) J.
Biol. Chem. 272, 31515-31524. "Role of
Translocation in the Activation and Function of Protein Kinase
B".
- Currie, R.A.,
Walker, K. S., Gray, A., Deak, M., Casamayor, A., Downes, C.P.,
Cohen, P., Alessi, D.R. and Lucocq, J. (1999) Biochem. J.
337, 575-583. "The role of phosphatidylinositol
3,4,5-trisphosphate in regulating the activity and localisation of
3-phosphoinositide-dependent protein kinase-1".
- Williams, M.R.,
Arthur, J.S.C., Balendran, A., van der Kaay, J., Poli, V., Cohen,
P. and Alessi, D.R. (2000) Curr. Biol. 10, 439-448.
"The role of 3-phosphoinositide-dependent protein kinase 1 in
activating AGC kinases defined in embryonic stem cells".
- Alessi, D.R.,
Caudwell, F.B., Andjelkovic, M., Hemmings, B. and Cohen, P. (1996)
FEBS Lett. 399, 333-338. "Molecular basis for
the substrate specificity of protein kinase B; comparison with
MAPKAP kinase-1 and p70 S6 kinase".
- Rena, G., Guo, S.,
Cichy, S., Unterman, T.G. and Cohen, P. (1999) J. Biol. Chem.
274, 17179-17183. "Phosphorylation of the
transcription factor forkhead family member FKHR by protein kinase
B."
- Guo, S., Rena, G.,
Cichy, S., He, X., Cohen, P and Unterman, T.G. (1999) J. Biol.
Chem. 274, 17184-17192. "Phosphorylation of serine
256 by protein kinase B disrupts transactivation by FKHR and
mediates effects of insulin on IGF binding protein-1 promoter
activity through a conserved insulin response sequence".
- Le Good, J.A.,
Ziegler, H., Parekh, D.B., Alessi, D.R., Cohen, P. and Parker, P.J.
(1998) Science 281, 2042-2045. "Protein kinase
C isotypes are controlled by phosphoinositide 3-kinase through the
upstream kinase PDK1".
- Kobayashi, T. and
Cohen, P. (1999) Biochem J. 339, 319-328.
"Activation of SGK by agonists that activate
phosphatidylinositide 3-kinase is mediated by PDK1 and PDK2".
- Kobayashi, T.,
Deak, M., Morrice, N. and Cohen, P. (1999) Biochem. J. 344,
189-197. "Characterisation of the structure and regulation of
two novel isoforms of serum- and glucocorticoid-induced protein
kinase".
Professor Sir Philip Cohen, FRS, FRSE
MRC Protein Phosphorylation Unit
School of Life Sciences
MSI/WTB Complex
University of Dundee
Dundee, Scotland
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