Skip to main content

PI3K and AKT at the Interface of Signaling and Metabolism

  • Chapter
  • First Online:
PI3K and AKT Isoforms in Immunity

Part of the book series: Current Topics in Microbiology and Immunology ((CT MICROBIOLOGY,volume 436))

  • 1175 Accesses

Abstract

The PI3K/AKT signaling module is recruited by several receptors implicated in maintaining tissue and metabolic homeostasis and signaling pathways controlling immune responses. Constitutive activation of PI3K/AKT signaling leads to tissue overgrowth and is frequently observed in cancer cells, whereas reduced PI3K/AKT signaling is associated with diabetes and growth defects. Thus, a critical roadblock to effective PI3K-targeted therapy comes from the crucial role of PI3K/AKT signaling in systemic metabolic homeostasis. This chapter describes the role of PI3K/AKT in insulin signaling and metabolic homeostasis and the interplay between insulin action and metabolic feedback loops that cause resistance to PI3K-targeted therapies. Furthermore, we provide examples of insulin-independent roles for PI3K/AKT in metabolic homeostasis, and some generalizations on the action of PI3K/AKT signaling at the interface of signaling and metabolism are derived. Finally, the specific roles for different class I PI3K isoforms in controlling systemic metabolic homeostasis and energy balance are discussed. We conclude that defining the functional specificities and redundancies of different class I PI3K isoforms in pathways driving disease and controlling metabolic homeostasis is fundamental to develop novel PI3K-targeted therapies.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  • Al-Qassab H, Smith MA, Irvine EE, Guillermet-Guibert J, Claret M, Choudhury AI, Selman C, Piipari K, Clements M, Lingard S et al (2009) Dominant role of the p110beta isoform of PI3K over p110alpha in energy homeostasis regulation by POMC and AgRP neurons. Cell Metab 10:343–354

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Alessi DR, James SR, Downes CP, Holmes AB, Gaffney PR, Reese CB, Cohen P (1997) Characterization of a 3-phosphoinositide-dependent protein kinase which phosphorylates and activates protein kinase Balpha. Curr Biol 7:261–269

    Article  CAS  PubMed  Google Scholar 

  • Anveden A, Taube M, Peltonen M, Jacobson P, Andersson-Assarsson JC, Sjoholm K, Svensson PA, Carlsson LMS (2017) Long-term incidence of female-specific cancer after bariatric surgery or usual care in the Swedish Obese Subjects Study. Gynecol Oncol 145:224–229

    Article  PubMed  PubMed Central  Google Scholar 

  • Aoyagi K, Ohara-Imaizumi M, Nishiwaki C, Nakamichi Y, Ueki K, Kadowaki T, Nagamatsu S (2012) Acute inhibition of PI3K-PDK1-Akt pathway potentiates insulin secretion through upregulation of newcomer granule fusions in pancreatic beta-cells. PLoS ONE 7:e47381

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Araiz C, Yan A, Bettedi L, Samuelson I, Virtue S, McGavigan AK, Dani C, Vidal-Puig A, Foukas LC (2019) Enhanced beta-adrenergic signalling underlies an age-dependent beneficial metabolic effect of PI3K p110alpha inactivation in adipose tissue. Nat Commun 10:1546

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Arner P, Andersson DP, Backdahl J, Dahlman I, Ryden M (2018) Weight Gain and Impaired Glucose Metabolism in Women Are Predicted by Inefficient Subcutaneous Fat Cell Lipolysis. Cell Metab 28(45–54):e43

    Google Scholar 

  • Becattini B, Marone R, Zani F, Arsenijevic D, Seydoux J, Montani JP, Dulloo AG, Thorens B, Preitner F, Wymann MP et al (2011) PI3Kgamma within a nonhematopoietic cell type negatively regulates diet-induced thermogenesis and promotes obesity and insulin resistance. Proc Natl Acad Sci U S A 108:E854-863

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Becattini B, Breasson L, Sardi C, Zani F, Solinas G (2021) PI3Kγ promotes obesity-associated hepatocellular carcinoma by regulating metabolism and inflammation. JHEP Rep 6:100359

    Google Scholar 

  • Beeton CA, Chance EM, Foukas LC, Shepherd PR (2000) Comparison of the kinetic properties of the lipid- and protein-kinase activities of the p110alpha and p110beta catalytic subunits of class-Ia phosphoinositide 3-kinases. Biochem J 350(Pt 2):353–359

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Bernal-Mizrachi E, Wen W, Stahlhut S, Welling CM, Permutt MA (2001) Islet beta cell expression of constitutively active Akt1/PKB alpha induces striking hypertrophy, hyperplasia, and hyperinsulinemia. J Clin Invest 108:1631–1638

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Bi L, Okabe I, Bernard DJ, Nussbaum RL (2002) Early embryonic lethality in mice deficient in the p110beta catalytic subunit of PI 3-kinase. Mamm Genome 13:169–172

    CAS  PubMed  Google Scholar 

  • Bi L, Okabe I, Bernard DJ, Wynshaw-Boris A, Nussbaum RL (1999) Proliferative defect and embryonic lethality in mice homozygous for a deletion in the p110alpha subunit of phosphoinositide 3-kinase. J Biol Chem 274:10963–10968

    Article  CAS  PubMed  Google Scholar 

  • Bodine SC, Stitt TN, Gonzalez M, Kline WO, Stover GL, Bauerlein R, Zlotchenko E, Scrimgeour A, Lawrence JC, Glass DJ et al (2001) Akt/mTOR pathway is a crucial regulator of skeletal muscle hypertrophy and can prevent muscle atrophy in vivo. Nat Cell Biol 3:1014–1019

    Article  CAS  PubMed  Google Scholar 

  • Bohnacker T, Marone R, Collmann E, Calvez R, Hirsch E, Wymann MP (2009) PI3Kgamma adaptor subunits define coupling to degranulation and cell motility by distinct PtdIns(3,4,5)P3 pools in mast cells. Sci Signal 2:ra27

    Google Scholar 

  • Boucher J, Kleinridders A, Kahn CR (2014) Insulin receptor signaling in normal and insulin-resistant states. Cold Spring Harb Perspect Biol 6

    Google Scholar 

  • Brachmann SM, Ueki K, Engelman JA, Kahn RC, Cantley LC (2005) Phosphoinositide 3-kinase catalytic subunit deletion and regulatory subunit deletion have opposite effects on insulin sensitivity in mice. Mol Cell Biol 25:1596–1607

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Breasson L, Becattini B, Sardi C, Molinaro A, Zani F, Marone R, Botindari F, Bousquenaud M, Ruegg C, Wymann MP et al. (2017) PI3Kgamma activity in leukocytes promotes adipose tissue inflammation and early-onset insulin resistance during obesity. Sci Signal 10

    Google Scholar 

  • Breasson L, Sardi C, Becattini B, Zani F, Solinas G (2018) PI3Kgamma ablation does not promote diabetes in db/db mice, but improves insulin sensitivity and reduces pancreatic beta-cell apoptosis. FASEB J 32:319–329

    Article  CAS  PubMed  Google Scholar 

  • Bridges D, Saltiel AR (2015) Phosphoinositides: Key modulators of energy metabolism. Biochim Biophys Acta 1851:857–866

    Article  CAS  PubMed  Google Scholar 

  • Brunet A, Bonni A, Zigmond MJ, Lin MZ, Juo P, Hu LS, Anderson MJ, Arden KC, Blenis J, Greenberg ME (1999) Akt promotes cell survival by phosphorylating and inhibiting a Forkhead transcription factor. Cell 96:857–868

    Article  CAS  PubMed  Google Scholar 

  • Buckles TC, Ziemba BP, Masson GR, Williams RL, Falke JJ (2017) Single-Molecule Study Reveals How Receptor and Ras Synergistically Activate PI3Kalpha and PIP3 Signaling. Biophys J 113:2396–2405

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Burke JE, Williams RL (2015) Synergy in activating class I PI3Ks. Trends Biochem Sci 40:88–100

    Article  CAS  PubMed  Google Scholar 

  • Chattopadhyay M, Selinger ES, Ballou LM, Lin RZ (2011) Ablation of PI3K p110-alpha prevents high-fat diet-induced liver steatosis. Diabetes 60:1483–1492

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Choi SM, Tucker DF, Gross DN, Easton RM, DiPilato LM, Dean AS, Monks BR, Birnbaum MJ (2010) Insulin regulates adipocyte lipolysis via an Akt-independent signaling pathway. Mol Cell Biol 30:5009–5020

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Chouchani ET, Kazak L, Spiegelman BM (2019) New advances in adaptive thermogenesis: UCP1 and beyond. Cell Metab 29:27–37

    Article  CAS  PubMed  Google Scholar 

  • Ciraolo E, Iezzi M, Marone R, Marengo S, Curcio C, Costa C, Azzolino O, Gonella C, Rubinetto C, Wu H et al (2008) Phosphoinositide 3-kinase p110beta activity: key role in metabolism and mammary gland cancer but not development. Sci Signal 1:ra3

    Google Scholar 

  • Cohen P, Spiegelman BM (2016) Cell biology of fat storage. Mol Biol Cell 27:2523–2527

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Cohen S, Nathan JA, Goldberg AL (2015) Muscle wasting in disease: molecular mechanisms and promising therapies. Nat Rev Drug Discov 14:58–74

    Article  CAS  PubMed  Google Scholar 

  • Cross DA, Alessi DR, Cohen P, Andjelkovich M, Hemmings BA (1995) Inhibition of glycogen synthase kinase-3 by insulin mediated by protein kinase B. Nature 378:785–789

    Article  CAS  PubMed  Google Scholar 

  • Crouthamel MC, Kahana JA, Korenchuk S, Zhang SY, Sundaresan G, Eberwein DJ, Brown KK, Kumar R (2009) Mechanism and management of AKT inhibitor-induced hyperglycemia. Clin Cancer Res 15:217–225

    Article  CAS  PubMed  Google Scholar 

  • Czech MP (2017) Insulin action and resistance in obesity and type 2 diabetes. Nat Med 23:804–814

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Czech MP, Tencerova M, Pedersen DJ, Aouadi M (2013) Insulin signalling mechanisms for triacylglycerol storage. Diabetologia 56:949–964

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Das M (2018) Duvelisib in haematological malignancies. Lancet Oncol 19:e586

    Article  PubMed  Google Scholar 

  • Dhillon S, Keam SJ (2021) Umbralisib: first approval. Drugs 81:857–866

    Article  CAS  PubMed  Google Scholar 

  • DiPilato LM, Ahmad F, Harms M, Seale P, Manganiello V, Birnbaum MJ (2015) The Role of PDE3B Phosphorylation in the Inhibition of Lipolysis by Insulin. Mol Cell Biol 35:2752–2760

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Dobbins RL, Chester MW, Stevenson BE, Daniels MB, Stein DT, McGarry JD (1998) A fatty acid- dependent step is critically important for both glucose- and non-glucose-stimulated insulin secretion. J Clin Invest 101:2370–2376

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Dong XC, Copps KD, Guo S, Li Y, Kollipara R, DePinho RA, White MF (2008) Inactivation of hepatic Foxo1 by insulin signaling is required for adaptive nutrient homeostasis and endocrine growth regulation. Cell Metab 8:65–76

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Eriksson H, Ridderstrale M, Degerman E, Ekholm D, Smith CJ, Manganiello VC, Belfrage P, Tornqvist H (1995) Evidence for the key role of the adipocyte cGMP-inhibited cAMP phosphodiesterase in the antilipolytic action of insulin. Biochim Biophys Acta 1266:101–107

    Article  PubMed  Google Scholar 

  • Eto K, Yamashita T, Tsubamoto Y, Terauchi Y, Hirose K, Kubota N, Yamashita S, Taka J, Satoh S, Sekihara H et al (2002) Phosphatidylinositol 3-kinase suppresses glucose-stimulated insulin secretion by affecting post-cytosolic [Ca(2+)] elevation signals. Diabetes 51:87–97

    Article  CAS  PubMed  Google Scholar 

  • Feng J, Park J, Cron P, Hess D, Hemmings BA (2004) Identification of a PKB/Akt hydrophobic motif Ser-473 kinase as DNA-dependent protein kinase. J Biol Chem 279:41189–41196

    Article  CAS  PubMed  Google Scholar 

  • Foukas LC, Bilanges B, Bettedi L, Pearce W, Ali K, Sancho S, Withers DJ, Vanhaesebroeck B (2013) Long-term p110alpha PI3K inactivation exerts a beneficial effect on metabolism. EMBO Mol Med 5:563–571

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Foukas LC, Claret M, Pearce W, Okkenhaug K, Meek S, Peskett E, Sancho S, Smith AJ, Withers DJ, Vanhaesebroeck B (2006) Critical role for the p110alpha phosphoinositide-3-OH kinase in growth and metabolic regulation. Nature 441:366–370

    Article  CAS  PubMed  Google Scholar 

  • Fritsch R, de Krijger I, Fritsch K, George R, Reason B, Kumar MS, Diefenbacher M, Stamp G, Downward J (2013) RAS and RHO families of GTPases directly regulate distinct phosphoinositide 3-kinase isoforms. Cell 153:1050–1063

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Fruman DA, Chiu H, Hopkins BD, Bagrodia S, Cantley LC, Abraham RT (2017) The PI3K pathway in human disease. Cell 170:605–635

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Garcia-Cao I, Song MS, Hobbs RM, Laurent G, Giorgi C, de Boer VC, Anastasiou D, Ito K, Sasaki AT, Rameh L et al (2012) Systemic elevation of PTEN induces a tumor-suppressive metabolic state. Cell 149:49–62

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • German J, Kim F, Schwartz GJ, Havel PJ, Rhodes CJ, Schwartz MW, Morton GJ (2009) Hypothalamic leptin signaling regulates hepatic insulin sensitivity via a neurocircuit involving the vagus nerve. Endocrinology 150:4502–4511

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ghigo A, Morello F, Perino A, Hirsch E (2012) Phosphoinositide 3-kinases in health and disease. Subcell Biochem 58:183–213

    Article  CAS  PubMed  Google Scholar 

  • Goncalves MD, Hopkins BD, Cantley LC (2018) Phosphatidylinositol 3-kinase, growth disorders, and cancer. N Engl J Med 379:2052–2062

    Article  CAS  PubMed  Google Scholar 

  • Guillermet-Guibert J, Bjorklof K, Salpekar A, Gonella C, Ramadani F, Bilancio A, Meek S, Smith AJ, Okkenhaug K, Vanhaesebroeck B (2008) The p110beta isoform of phosphoinositide 3-kinase signals downstream of G protein-coupled receptors and is functionally redundant with p110gamma. Proc Natl Acad Sci U S A 105:8292–8297

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Haeusler RA, McGraw TE, Accili D (2018) Biochemical and cellular properties of insulin receptor signalling. Nat Rev Mol Cell Biol 19:31–44

    Article  CAS  PubMed  Google Scholar 

  • Hashimoto N, Kido Y, Uchida T, Asahara S, Shigeyama Y, Matsuda T, Takeda A, Tsuchihashi D, Nishizawa A, Ogawa W et al (2006) Ablation of PDK1 in pancreatic beta cells induces diabetes as a result of loss of beta cell mass. Nat Genet 38:589–593

    Article  CAS  PubMed  Google Scholar 

  • Hauke S, Keutler K, Phapale P, Yushchenko DA, Schultz C (2018) Endogenous fatty acids are essential signaling factors of pancreatic beta-cells and insulin secretion. Diabetes 67:1986–1998

    Article  CAS  PubMed  Google Scholar 

  • Hausen AC, Ruud J, Jiang H, Hess S, Varbanov H, Kloppenburg P, Bruning JC (2016) Insulin-dependent activation of MCH neurons impairs locomotor activity and insulin sensitivity in obesity. Cell Rep 17:2512–2521

    Article  CAS  PubMed  Google Scholar 

  • Hawkins PT, Stephens LR (2015) PI3K signalling in inflammation. Biochim Biophys Acta 1851:882–897

    Article  CAS  PubMed  Google Scholar 

  • Hawley JA, Hargreaves M, Joyner MJ, Zierath JR (2014) Integrative biology of exercise. Cell 159:738–749

    Article  CAS  PubMed  Google Scholar 

  • Hemmings BA, Restuccia DF (2012) PI3K-PKB/Akt pathway. Cold Spring Harb Perspect Biol 4:a011189

    Article  PubMed  PubMed Central  Google Scholar 

  • Hill JW, Xu Y, Preitner F, Fukuda M, Cho YR, Luo J, Balthasar N, Coppari R, Cantley LC, Kahn BB et al (2009) Phosphatidyl inositol 3-kinase signaling in hypothalamic proopiomelanocortin neurons contributes to the regulation of glucose homeostasis. Endocrinology 150:4874–4882

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hopkins BD, Goncalves MD, Cantley LC (2020) Insulin-PI3K signalling: an evolutionarily insulated metabolic driver of cancer. Nat Rev Endocrinol 16:276–283

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hopkins BD, Pauli C, Du X, Wang DG, Li X, Wu D, Amadiume SC, Goncalves MD, Hodakoski C, Lundquist MR et al (2018) Suppression of insulin feedback enhances the efficacy of PI3K inhibitors. Nature 560:499–503

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Houslay DM, Anderson KE, Chessa T, Kulkarni S, Fritsch R, Downward J, Backer JM, Stephens LR, Hawkins PT (2016) Coincident signals from GPCRs and receptor tyrosine kinases are uniquely transduced by PI3Kbeta in myeloid cells. Sci Signal 9:ra82

    Google Scholar 

  • Inoki K, Li Y, Zhu T, Wu J, Guan KL (2002) TSC2 is phosphorylated and inhibited by Akt and suppresses mTOR signalling. Nat Cell Biol 4:648–657

    Article  CAS  PubMed  Google Scholar 

  • Itoh Y, Kawamata Y, Harada M, Kobayashi M, Fujii R, Fukusumi S, Ogi K, Hosoya M, Tanaka Y, Uejima H et al (2003) Free fatty acids regulate insulin secretion from pancreatic beta cells through GPR40. Nature 422:173–176

    Article  CAS  PubMed  Google Scholar 

  • Izumiya Y, Hopkins T, Morris C, Sato K, Zeng L, Viereck J, Hamilton JA, Ouchi N, LeBrasseur NK, Walsh K (2008) Fast/Glycolytic muscle fiber growth reduces fat mass and improves metabolic parameters in obese mice. Cell Metab 7:159–172

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Janku F, Yap TA, Meric-Bernstam F (2018) Targeting the PI3K pathway in cancer: are we making headway? Nat Rev Clin Oncol 15:273–291

    Article  CAS  PubMed  Google Scholar 

  • Jia S, Liu Z, Zhang S, Liu P, Zhang L, Lee SH, Zhang J, Signoretti S, Loda M, Roberts TM et al (2008) Essential roles of PI(3)K-p110beta in cell growth, metabolism and tumorigenesis. Nature 454:776–779

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Jiang G, Zhang BB (2003) Glucagon and regulation of glucose metabolism. Am J Physiol Endocrinol Metab 284:E671-678

    Article  CAS  PubMed  Google Scholar 

  • Kaneko K, Ueki K, Takahashi N, Hashimoto S, Okamoto M, Awazawa M, Okazaki Y, Ohsugi M, Inabe K, Umehara T et al (2010) Class IA phosphatidylinositol 3-kinase in pancreatic beta cells controls insulin secretion by multiple mechanisms. Cell Metab 12:619–632

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Keppler-Noreuil KM, Parker VE, Darling TN, Martinez-Agosto JA (2016) Somatic overgrowth disorders of the PI3K/AKT/mTOR pathway and therapeutic strategies. Am J Med Genet C Semin Med Genet 172:402–421

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Khan KH, Wong M, Rihawi K, Bodla S, Morganstein D, Banerji U, Molife LR (2016) Hyperglycemia and Phosphatidylinositol 3-Kinase/Protein Kinase B/Mammalian Target of Rapamycin (PI3K/AKT/mTOR) Inhibitors in Phase I Trials: Incidence, Predictive Factors, and Management. Oncologist 21:855–860

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kholodenko BN, Hancock JF, Kolch W (2010) Signalling ballet in space and time. Nat Rev Mol Cell Biol 11:414–426

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kitamura T, Kitamura Y, Kuroda S, Hino Y, Ando M, Kotani K, Konishi H, Matsuzaki H, Kikkawa U, Ogawa W et al (1999) Insulin-induced phosphorylation and activation of cyclic nucleotide phosphodiesterase 3B by the serine-threonine kinase Akt. Mol Cell Biol 19:6286–6296

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Klockener T, Hess S, Belgardt BF, Paeger L, Verhagen LA, Husch A, Sohn JW, Hampel B, Dhillon H, Zigman JM et al (2011) High-fat feeding promotes obesity via insulin receptor/PI3K-dependent inhibition of SF-1 VMH neurons. Nat Neurosci 14:911–918

    Article  PubMed  PubMed Central  Google Scholar 

  • Knight ZA, Gonzalez B, Feldman ME, Zunder ER, Goldenberg DD, Williams O, Loewith R, Stokoe D, Balla A, Toth B et al (2006) A pharmacological map of the PI3-K family defines a role for p110alpha in insulin signaling. Cell 125:733–747

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kobayashi N, Ueki K, Okazaki Y, Iwane A, Kubota N, Ohsugi M, Awazawa M, Kobayashi M, Sasako T, Kaneko K et al (2011) Blockade of class IB phosphoinositide-3 kinase ameliorates obesity-induced inflammation and insulin resistance. Proc Natl Acad Sci U S A 108:5753–5758

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kolb H, Stumvoll M, Kramer W, Kempf K, Martin S (2018) Insulin translates unfavourable lifestyle into obesity. BMC Med 16:232

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kolic J, Spigelman AF, Plummer G, Leung E, Hajmrle C, Kin T, Shapiro AM, Manning Fox JE, MacDonald PE (2013) Distinct and opposing roles for the phosphatidylinositol 3-OH kinase catalytic subunits p110alpha and p110beta in the regulation of insulin secretion from rodent and human beta cells. Diabetologia 56:1339–1349

    Article  CAS  PubMed  Google Scholar 

  • Kulkarni RN, Bruning JC, Winnay JN, Postic C, Magnuson MA, Kahn CR (1999) Tissue-specific knockout of the insulin receptor in pancreatic beta cells creates an insulin secretory defect similar to that in type 2 diabetes. Cell 96:329–339

    Article  CAS  PubMed  Google Scholar 

  • Kurosu H, Maehama T, Okada T, Yamamoto T, Hoshino S, Fukui Y, Ui M, Hazeki O, Katada T (1997) Heterodimeric phosphoinositide 3-kinase consisting of p85 and p110beta is synergistically activated by the betagamma subunits of G proteins and phosphotyrosyl peptide. J Biol Chem 272:24252–24256

    Article  CAS  PubMed  Google Scholar 

  • Lai KM, Gonzalez M, Poueymirou WT, Kline WO, Na E, Zlotchenko E, Stitt TN, Economides AN, Yancopoulos GD, Glass DJ (2004) Conditional activation of akt in adult skeletal muscle induces rapid hypertrophy. Mol Cell Biol 24:9295–9304

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Lefebvre PJ, Paolisso G, Scheen AJ, Henquin JC (1987) Pulsatility of insulin and glucagon release: physiological significance and pharmacological implications. Diabetologia 30:443–452

    Article  CAS  PubMed  Google Scholar 

  • Li LX, MacDonald PE, Ahn DS, Oudit GY, Backx PH, Brubaker PL (2006) Role of phosphatidylinositol 3-kinasegamma in the beta-cell: interactions with glucagon-like peptide-1. Endocrinology 147:3318–3325

    Article  CAS  PubMed  Google Scholar 

  • Li ME, Lauritzen H, O’Neill BT, Wang CH, Cai W, Brandao BB, Sakaguchi M, Tao R, Hirshman MF, Softic S et al (2019a) Role of p110a subunit of PI3-kinase in skeletal muscle mitochondrial homeostasis and metabolism. Nat Commun 10:3412

    Article  PubMed  PubMed Central  Google Scholar 

  • Li Q, Zhao Q, Zhang J, Zhou L, Zhang W, Chua B, Chen Y, Xu L, Li P (2019b) The protein phosphatase 1 complex is a direct target of AKT that links insulin signaling to hepatic glycogen deposition. Cell Rep 28(3406–3422):e3407

    Google Scholar 

  • Liu GY, Sabatini DM (2020) mTOR at the nexus of nutrition, growth, ageing and disease. Nat Rev Mol Cell Biol 21:183–203

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Lopez-Guadamillas E, Munoz-Martin M, Martinez S, Pastor J, Fernandez-Marcos PJ, Serrano M (2016) PI3Kalpha inhibition reduces obesity in mice. Aging (albany NY) 8:2747–2753

    Article  CAS  Google Scholar 

  • Luo J, Sobkiw CL, Hirshman MF, Logsdon MN, Li TQ, Goodyear LJ, Cantley LC (2006) Loss of class IA PI3K signaling in muscle leads to impaired muscle growth, insulin response, and hyperlipidemia. Cell Metab 3:355–366

    Article  CAS  PubMed  Google Scholar 

  • Madsen RR, Vanhaesebroeck B (2020) Cracking the context-specific PI3K signaling code. Sci Signal 13

    Google Scholar 

  • Madsen RR, Vanhaesebroeck B, Semple RK (2018) Cancer-associated PIK3CA mutations in overgrowth disorders. Trends Mol Med 24:856–870

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Markham A (2019) Alpelisib: first global approval. Drugs 79:1249–1253

    Article  CAS  PubMed  Google Scholar 

  • Martinez-Lopez A, Blasco-Morente G, Perez-Lopez I, Herrera-Garcia JD, Luque-Valenzuela M, Sanchez-Cano D, Lopez-Gutierrez JC, Ruiz-Villaverde R, Tercedor-Sanchez J (2017) CLOVES syndrome: review of a PIK3CA-related overgrowth spectrum (PROS). Clin Genet 91:14–21

    Article  CAS  PubMed  Google Scholar 

  • Matsumoto M, Pocai A, Rossetti L, Depinho RA, Accili D (2007) Impaired regulation of hepatic glucose production in mice lacking the forkhead transcription factor Foxo1 in liver. Cell Metab 6:208–216

    Article  CAS  PubMed  Google Scholar 

  • Mauro C, Smith J, Cucchi D, Coe D, Fu H, Bonacina F, Baragetti A, Cermenati G, Caruso D, Mitro N et al (2017) Obesity-induced metabolic stress leads to biased effector memory CD4(+) T cell differentiation via PI3K p110delta-Akt-mediated signals. Cell Metab 25:593–609

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Mehran AE, Templeman NM, Brigidi GS, Lim GE, Chu KY, Hu X, Botezelli JD, Asadi A, Hoffman BG, Kieffer TJ et al (2012) Hyperinsulinemia drives diet-induced obesity independently of brain insulin production. Cell Metab 16:723–737

    Article  CAS  PubMed  Google Scholar 

  • Meier TI, Cook JA, Thomas JE, Radding JA, Horn C, Lingaraj T, Smith MC (2004) Cloning, expression, purification, and characterization of the human Class Ia phosphoinositide 3-kinase isoforms. Protein Expr Purif 35:218–224

    Article  CAS  PubMed  Google Scholar 

  • Michael MD, Kulkarni RN, Postic C, Previs SF, Shulman GI, Magnuson MA, Kahn CR (2000) Loss of insulin signaling in hepatocytes leads to severe insulin resistance and progressive hepatic dysfunction. Mol Cell 6:87–97

    Article  CAS  PubMed  Google Scholar 

  • Miyake K, Ogawa W, Matsumoto M, Nakamura T, Sakaue H, Kasuga M (2002) Hyperinsulinemia, glucose intolerance, and dyslipidemia induced by acute inhibition of phosphoinositide 3-kinase signaling in the liver. J Clin Invest 110:1483–1491

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Molinaro A, Becattini B, Mazzoli A, Bleve A, Radici L, Maxvall I, Sopasakis VR, Molinaro A, Backhed F, Solinas G (2019) Insulin-driven PI3K-AKT signaling in the hepatocyte is mediated by Redundant PI3Kalpha and PI3Kbeta activities and is promoted by RAS. Cell Metab 29(1400–1409):e1405

    Google Scholar 

  • Nakae J, Park BC, Accili D (1999) Insulin stimulates phosphorylation of the forkhead transcription factor FKHR on serine 253 through a Wortmannin-sensitive pathway. J Biol Chem 274:15982–15985

    Article  CAS  PubMed  Google Scholar 

  • Newsholme P, Brennan L, Rubi B, Maechler P (2005) New insights into amino acid metabolism, beta-cell function and diabetes. Clin Sci (lond) 108:185–194

    Article  CAS  Google Scholar 

  • Niswender KD, Morrison CD, Clegg DJ, Olson R, Baskin DG, Myers MG Jr, Seeley RJ, Schwartz MW (2003) Insulin activation of phosphatidylinositol 3-kinase in the hypothalamic arcuate nucleus: a key mediator of insulin-induced anorexia. Diabetes 52:227–231

    Article  CAS  PubMed  Google Scholar 

  • Obici S, Feng Z, Karkanias G, Baskin DG, Rossetti L (2002a) Decreasing hypothalamic insulin receptors causes hyperphagia and insulin resistance in rats. Nat Neurosci 5:566–572

    Article  CAS  PubMed  Google Scholar 

  • Obici S, Zhang BB, Karkanias G, Rossetti L (2002b) Hypothalamic insulin signaling is required for inhibition of glucose production. Nat Med 8:1376–1382

    Article  CAS  PubMed  Google Scholar 

  • Okkenhaug K, Graupera M, Vanhaesebroeck B (2016) Targeting PI3K in cancer: impact on tumor cells, their protective stroma, angiogenesis, and immunotherapy. Cancer Discov 6:1090–1105

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ortega-Molina A, Efeyan A, Lopez-Guadamillas E, Munoz-Martin M, Gomez-Lopez G, Canamero M, Mulero F, Pastor J, Martinez S, Romanos E et al (2012) Pten positively regulates brown adipose function, energy expenditure, and longevity. Cell Metab 15:382–394

    Article  CAS  PubMed  Google Scholar 

  • Ortega-Molina A, Lopez-Guadamillas E, Mattison JA, Mitchell SJ, Munoz-Martin M, Iglesias G, Gutierrez VM, Vaughan KL, Szarowicz MD, Gonzalez-Garcia I et al (2015) Pharmacological inhibition of PI3K reduces adiposity and metabolic syndrome in obese mice and rhesus monkeys. Cell Metab 21:558–570

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Page MM, Johnson JD (2018) Mild suppression of hyperinsulinemia to treat obesity and insulin resistance. Trends Endocrinol Metab 29:389–399

    Article  CAS  PubMed  Google Scholar 

  • Pallafacchina G, Calabria E, Serrano AL, Kalhovde JM, Schiaffino S (2002) A protein kinase B-dependent and rapamycin-sensitive pathway controls skeletal muscle growth but not fiber type specification. Proc Natl Acad Sci U S A 99:9213–9218

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Peng XD, Xu PZ, Chen ML, Hahn-Windgassen A, Skeen J, Jacobs J, Sundararajan D, Chen WS, Crawford SE, Coleman KG et al (2003) Dwarfism, impaired skin development, skeletal muscle atrophy, delayed bone development, and impeded adipogenesis in mice lacking Akt1 and Akt2. Genes Dev 17:1352–1365

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Perino A, Beretta M, Kilic A, Ghigo A, Carnevale D, Repetto IE, Braccini L, Longo D, Liebig-Gonglach M, Zaglia T et al (2014) Combined inhibition of PI3Kbeta and PI3Kgamma reduces fat mass by enhancing alpha-MSH-dependent sympathetic drive. Sci Signal 7:ra110

    Google Scholar 

  • Persaud SJ, Asare-Anane H, Jones PM (2002) Insulin receptor activation inhibits insulin secretion from human islets of Langerhans. FEBS Lett 510:225–228

    Article  CAS  PubMed  Google Scholar 

  • Perseghin G, Calori G, Lattuada G, Ragogna F, Dugnani E, Garancini MP, Crosignani P, Villa M, Bosi E, Ruotolo G et al (2012) Insulin resistance/hyperinsulinemia and cancer mortality: the Cremona study at the 15th year of follow-up. Acta Diabetol 49:421–428

    Article  CAS  PubMed  Google Scholar 

  • Petersen MC, Shulman GI (2018) Mechanisms of insulin action and insulin resistance. Physiol Rev 98:2133–2223

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Pigeau GM, Kolic J, Ball BJ, Hoppa MB, Wang YW, Ruckle T, Woo M, Manning Fox JE, MacDonald PE (2009) Insulin granule recruitment and exocytosis is dependent on p110gamma in insulinoma and human beta-cells. Diabetes 58:2084–2092

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Plum L, Ma X, Hampel B, Balthasar N, Coppari R, Munzberg H, Shanabrough M, Burdakov D, Rother E, Janoschek R et al (2006) Enhanced PIP3 signaling in POMC neurons causes KATP channel activation and leads to diet-sensitive obesity. J Clin Invest 116:1886–1901

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Plum L, Rother E, Munzberg H, Wunderlich FT, Morgan DA, Hampel B, Shanabrough M, Janoschek R, Konner AC, Alber J et al (2007) Enhanced leptin-stimulated Pi3k activation in the CNS promotes white adipose tissue transdifferentiation. Cell Metab 6:431–445

    Article  CAS  PubMed  Google Scholar 

  • Pompura SL, Dominguez-Villar M (2018) The PI3K/AKT signaling pathway in regulatory T-cell development, stability, and function. J Leukoc Biol

    Google Scholar 

  • Rahn T, Ridderstrale M, Tornqvist H, Manganiello V, Fredrikson G, Belfrage P, Degerman E (1994) Essential role of phosphatidylinositol 3-kinase in insulin-induced activation and phosphorylation of the cGMP-inhibited cAMP phosphodiesterase in rat adipocytes. Studies using the selective inhibitor wortmannin. FEBS Lett 350:314–318

    Article  CAS  PubMed  Google Scholar 

  • Rathinaswamy MK, Burke JE (2020) Class I phosphoinositide 3-kinase (PI3K) regulatory subunits and their roles in signaling and disease. Adv Biol Regul 75:100657

    Article  CAS  PubMed  Google Scholar 

  • Ravnskjaer K, Madiraju A, Montminy M (2016) Role of the cAMP pathway in glucose and lipid metabolism. Handb Exp Pharmacol 233:29–49

    Article  CAS  PubMed  Google Scholar 

  • Rorsman P, Ashcroft FM (2018) Pancreatic beta-cell electrical activity and insulin secretion: of mice and men. Physiol Rev 98:117–214

    Article  CAS  PubMed  Google Scholar 

  • Rorsman P, Braun M (2013) Regulation of insulin secretion in human pancreatic islets. Annu Rev Physiol 75:155–179

    Article  CAS  PubMed  Google Scholar 

  • Ruderman NB, Kapeller R, White MF, Cantley LC (1990) Activation of phosphatidylinositol 3-kinase by insulin. Proc Natl Acad Sci U S A 87:1411–1415

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Rui L (2014) Energy metabolism in the liver. Compr Physiol 4:177–197

    Article  PubMed  PubMed Central  Google Scholar 

  • Saltiel AR (2016) Insulin signaling in the control of glucose and lipid homeostasis. Handb Exp Pharmacol 233:51–71

    Article  CAS  PubMed  Google Scholar 

  • Sano H, Kane S, Sano E, Miinea CP, Asara JM, Lane WS, Garner CW, Lienhard GE (2003) Insulin-stimulated phosphorylation of a Rab GTPase-activating protein regulates GLUT4 translocation. J Biol Chem 278:14599–14602

    Article  CAS  PubMed  Google Scholar 

  • Sarbassov DD, Guertin DA, Ali SM, Sabatini DM (2005) Phosphorylation and regulation of Akt/PKB by the rictor-mTOR complex. Science 307:1098–1101

    Article  CAS  PubMed  Google Scholar 

  • Shearin AL, Monks BR, Seale P, Birnbaum MJ (2016) Lack of AKT in adipocytes causes severe lipodystrophy. Mol Metab 5:472–479

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Shimobayashi M, Hall MN (2014) Making new contacts: the mTOR network in metabolism and signalling crosstalk. Nat Rev Mol Cell Biol 15:155–162

    Article  CAS  PubMed  Google Scholar 

  • Shymanets A, Prajwal Bucher K, Beer-Hammer S, Harteneck C, Nurnberg B (2013) p87 and p101 subunits are distinct regulators determining class IB phosphoinositide 3-kinase (PI3K) specificity. J Biol Chem 288:31059–31068

    Google Scholar 

  • Siempelkamp BD, Rathinaswamy MK, Jenkins ML, Burke JE (2017) Molecular mechanism of activation of class IA phosphoinositide 3-kinases (PI3Ks) by membrane-localized HRas. J Biol Chem 292:12256–12266

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Softic S, Boucher J, Solheim MH, Fujisaka S, Haering MF, Homan EP, Winnay J, Perez-Atayde AR, Kahn CR (2016) Lipodystrophy due to adipose tissue-specific insulin receptor knockout results in progressive NAFLD. Diabetes 65:2187–2200

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Solinas G, Becattini B (2017) JNK at the crossroad of obesity, insulin resistance, and cell stress response. Mol Metab 6:174–184

    Article  CAS  PubMed  Google Scholar 

  • Solinas G, Boren J, Dulloo AG (2015) De novo lipogenesis in metabolic homeostasis: More friend than foe? Mol Metab 4:367–377

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Sopasakis VR, Liu P, Suzuki R, Kondo T, Winnay J, Tran TT, Asano T, Smyth G, Sajan MP, Farese RV et al (2010) Specific roles of the p110alpha isoform of phosphatidylinsositol 3-kinase in hepatic insulin signaling and metabolic regulation. Cell Metab 11:220–230

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Templeman NM, Flibotte S, Chik JHL, Sinha S, Lim GE, Foster LJ, Nislow C, Johnson JD (2017) Reduced circulating insulin enhances insulin sensitivity in old mice and extends lifespan. Cell Rep 20:451–463

    Article  CAS  PubMed  Google Scholar 

  • Thorpe LM, Yuzugullu H, Zhao JJ (2015) PI3K in cancer: divergent roles of isoforms, modes of activation and therapeutic targeting. Nat Rev Cancer 15:7–24

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Titchenell PM, Lazar MA, Birnbaum MJ (2017) Unraveling the regulation of hepatic metabolism by Insulin. Trends Endocrinol Metab 28:497–505

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Titchenell PM, Quinn WJ, Lu M, Chu Q, Lu W, Li C, Chen H, Monks BR, Chen J, Rabinowitz JD et al (2016) Direct hepatocyte insulin signaling is required for lipogenesis but is dispensable for the suppression of glucose production. Cell Metab 23:1154–1166

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Torres C, Mancinelli G, Cordoba-Chacon J, Viswakarma N, Castellanos K, Grimaldo S, Kumar S, Principe D, Dorman MJ, McKinney R et al (2019) p110gamma deficiency protects against pancreatic carcinogenesis yet predisposes to diet-induced hepatotoxicity. Proc Natl Acad Sci U S A 116:14724–14733

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Tsolakos N, Durrant TN, Chessa T, Suire SM, Oxley D, Kulkarni S, Downward J, Perisic O, Williams RL, Stephens L et al (2018) Quantitation of class IA PI3Ks in mice reveals p110-free-p85s and isoform-selective subunit associations and recruitment to receptors. Proc Natl Acad Sci USA 115:12176–12181

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Tuttle RL, Gill NS, Pugh W, Lee JP, Koeberlein B, Furth EE, Polonsky KS, Naji A, Birnbaum MJ (2001) Regulation of pancreatic beta-cell growth and survival by the serine/threonine protein kinase Akt1/PKBalpha. Nat Med 7:1133–1137

    Article  CAS  PubMed  Google Scholar 

  • Ueki K, Okada T, Hu J, Liew CW, Assmann A, Dahlgren GM, Peters JL, Shackman JG, Zhang M, Artner I et al (2006) Total insulin and IGF-I resistance in pancreatic beta cells causes overt diabetes. Nat Genet 38:583–588

    Article  CAS  PubMed  Google Scholar 

  • Utermark T, Rao T, Cheng H, Wang Q, Lee SH, Wang ZC, Iglehart JD, Roberts TM, Muller WJ, Zhao JJ (2012) The p110alpha and p110beta isoforms of PI3K play divergent roles in mammary gland development and tumorigenesis. Genes Dev 26:1573–1586

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Vadas O, Burke JE, Zhang X, Berndt A, Williams RL (2011) Structural basis for activation and inhibition of class I phosphoinositide 3-kinases. Sci Signal 4:re2

    Google Scholar 

  • Vadas O, Dbouk HA, Shymanets A, Perisic O, Burke JE, Abi Saab WF, Khalil BD, Harteneck C, Bresnick AR, Nurnberg B et al (2013) Molecular determinants of PI3Kgamma-mediated activation downstream of G-protein-coupled receptors (GPCRs). Proc Natl Acad Sci USA 110:18862–18867

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Vainshtein A, Sandri M (2020) Signaling pathways that control muscle Mass. Int J Mol Sci 21

    Google Scholar 

  • Vanhaesebroeck B, Guillermet-Guibert J, Graupera M, Bilanges B (2010) The emerging mechanisms of isoform-specific PI3K signalling. Nat Rev Mol Cell Biol 11:329–341

    Article  CAS  PubMed  Google Scholar 

  • Vogelstein B, Papadopoulos N, Velculescu VE, Zhou S, Diaz LA Jr, Kinzler KW (2013) Cancer genome landscapes. Science 339:1546–1558

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Walser R, Burke JE, Gogvadze E, Bohnacker T, Zhang X, Hess D, Kuenzi P, Leitges M, Hirsch E, Williams RL et al (2013) PKCbeta phosphorylates PI3Kgamma to activate it and release it from GPCR control. PLoS Biol 11:e1001587

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Wang Q, Yu WN, Chen X, Peng XD, Jeon SM, Birnbaum MJ, Guzman G, Hay N (2016) Spontaneous hepatocellular carcinoma after the combined deletion of Akt Isoforms. Cancer Cell 29:523–535

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Wollheim CB, Sharp GW (1981) Regulation of insulin release by calcium. Physiol Rev 61:914–973

    Article  CAS  PubMed  Google Scholar 

  • Wymann MP, Solinas G (2013) Inhibition of phosphoinositide 3-kinase gamma attenuates inflammation, obesity, and cardiovascular risk factors. Ann N Y Acad Sci 1280:44–47

    Article  CAS  PubMed  Google Scholar 

  • Xu AW, Kaelin CB, Takeda K, Akira S, Schwartz MW, Barsh GS (2005) PI3K integrates the action of insulin and leptin on hypothalamic neurons. J Clin Invest 115:951–958

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Xu Y, Hill JW, Fukuda M, Gautron L, Sohn JW, Kim KW, Lee CE, Choi MJ, Lauzon DA, Dhillon H et al (2010) PI3K signaling in the ventromedial hypothalamic nucleus is required for normal energy homeostasis. Cell Metab 12:88–95

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Zawalich WS, Zawalich KC (2000) A link between insulin resistance and hyperinsulinemia: inhibitors of phosphatidylinositol 3-kinase augment glucose-induced insulin secretion from islets of lean, but not obese, rats. Endocrinology 141:3287–3295

    Article  CAS  PubMed  Google Scholar 

  • Zechner R, Madeo F, Kratky D (2017) Cytosolic lipolysis and lipophagy: two sides of the same coin. Nat Rev Mol Cell Biol 18:671–684

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Giovanni Solinas .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Solinas, G., Becattini, B. (2022). PI3K and AKT at the Interface of Signaling and Metabolism. In: Dominguez-Villar, M. (eds) PI3K and AKT Isoforms in Immunity . Current Topics in Microbiology and Immunology, vol 436. Springer, Cham. https://doi.org/10.1007/978-3-031-06566-8_13

Download citation

Publish with us

Policies and ethics