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EDITORIAL FOCUS
Milhauser Laboratories, New York University School of Medicine, New York, New York
THE AKT SERINE/THREONINE KINASE (also called protein kinase B or PKB) has emerged as a critical signaling molecule within eukaryotic cells. In addition to work clarifying its regulation by upstream kinases and phosphatases, significant efforts have been applied to the identification of potential binding partners, which may alter its biological function. Carboxy-terminal modulator protein (CTMP) is such an Akt-interacting protein. Ono et al. (26) now present evidence that CTMP, originally identified as a suppressor of Akt phosphorylation, may also act as an activator of Akt under certain experimental conditions. This editorial focus evaluates the different models for the role of CTMP in Akt regulation while also discussing possible physiological approaches to harness the complexity of Akt protein-protein interaction in view of their therapeutic potential.
Over the past decade, the Akt serine/threonine kinase has emerged as a critical signaling component within all cells of higher eukaryotes. Akt activation is regulated by phosphatidylinositol 3-kinase (PI3K)-dependent second messenger molecules (4, 14, 24). As a target of PI3K (17), Akt regulates a wide range of biological responses that include cell survival, proliferation, transcription, protein synthesis, and nutrient metabolism (4, 15, 27, 30). All three Akt isoforms (Akt1, Akt2, and Akt3) in mammals share a common structure that consists of an NH2-terminal regulatory domain including a pleckstrin homology (PH) domain (16), a hinge region connecting the PH domain to a kinase domain with serine/threonine specificity (1), and a COOH-terminal region required for the induction and maintenance of its kinase activity (7). Its kinase domain shares significant homology with other members of the AGC kinase family, which share phosphoinositide-dependent kinase (PDK-1) as a common upstream regulator (29).
In animals, Akt (Akt1) is ubiquitously expressed at high levels, with the exception of kidney, liver, and spleen (2, 11, 20). Akt2 expression varies between different tissues, with higher expression levels in muscle, intestinal organs, and reproductive tissues (19, 22). Akt3, in turn, is expressed the highest in brain and testis (25). All Akt isoforms are regulated similarly and in vitro phosphorylate substrates with equal specificity and efficiency. While it is possible that varying implications of different Akt isoforms in human disease result from different patterns of expression, recent studies have found nonredundancy in physiological functions (3). Furthermore, experiments selectively disrupting the Akt genes in the mouse germ line have resulted in mutant mice with specific phenotypes. All mice deficient for a single Akt isoform are viable, but depending on which Akt isoform has been deleted, they either show significant retardation of growth and reduction of body weight (after Akt1 deletion) (8, 10), defects in the regulation of blood glucose concentrations following insulin stimulation (after knocking out the Akt2 gene) (9), or reduced brain sizes (after Akt3 deletion) (13, 30). The sole fact that knockout mutants deficient of single isoforms are viable with only a subtle difference in phenotype may indicate the capacity of the three Akt isoforms to compensate for one another.
Given the functional importance of Akt as a key modulator of intracellular signaling, significant efforts have been applied to the identification of potential binding partners, mainly by using yeast two-hybrid analysis. Comprehensive reviews of several Akt interacting molecules and their mechanisms of action are given by Brazil et al. (5) and Du and Tsichlis (12). Among these are proteins with enzymatic activity that interact with Akt and modify its phosphorylation state. Examples for this mode of regulation include other enzymes, such as PDK-1. Other Akt-interacting proteins lack intrinsic activity, but they bind to one or more regions of the Akt molecule and modify its activity and/or intracellular localization.
One interacting molecule that regulates Akt activity by binding is the 27-kDA protein CTMP. In the original study describing CMTP published in 2001, Maira et al. (23) showed that CTMP binds to the COOH terminus of Akt in a region including the hydrophobic motif (HM) and COOH-terminal serine phosphorylation site (23). The authors showed that Akt and CTMP formed an endogenous complex at the plasma membrane, and that the effect of CTMP binding was to reduce Akt phosphorylation on pSer473, resulting in a decrease in Akt activity. Furthermore, when expressed in mink lung cells transformed with the viral oncogene v-Akt (AKT8 cells), CTMP overexpression resulted in a phenotypic regression of these transformed cells to wild type. Maira et al. also applied genetic approaches to investigate the effect of altered CTMP expression on soft agar colony formation and tumorigenic potential of AKT8 cells. Their findings strongly suggested that CTMP indeed acted as a negative regulator of Akt. As a model for CTMP action, Maira et al. propose a model in which binding of CTMP inhibited phosphorylation of Akt by upstream kinases (23) (Fig. 1A).
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In their recent article, Ono et al. (26) now provide evidence that CTMP may also act as a positive regulator of Akt signaling. While both Maira et al. (23) and Ono et al. present comparable results to show that the interaction of Akt and CTMP occurs at the plasma membrane, their studies differ diametrically regarding the consequences of this interaction on Akt phosphorylation and downstream biological responses. Specifically, using various cell lines, including Cos-1, HepG2, HeLa, and NIH3T3 cells, Ono et al. show that CTMP overexpression induces Akt phosphorylation on critical residues, leading to increased phosphorylation of downstream substrates, facilitating antiapoptosis and glucose metabolism. In contrast, downregulation of endogenous CTMP expression by using small interfering RNA blocked Akt phosphorylation. From these findings, the authors extract a different model for CTMP function, in which CTMP acts as an Akt activator by facilitating its translocation to the plasma membrane, where Akt then is an accessible substrate for phosphorylation by upstream kinases (26) (Fig. 1B).
When comparing the studies by Maira et al. (23) and Ono et al. (26) side by side, one is left with an irreconcilable disagreement. In support of Maira et al., concerns remain about the relative amplitude of the effects observed by Ono et al. In the Ono et al. study, stimulation of cells with various activators of Akt triggers an increase in phosphorylation/activity of only 1–3 fold, whereas Maira et al. report changes at least 1 magnitude larger. Still, these technical arguments aside, both articles have used comparable approaches to come to rather disparate findings. Looking at these differences, though, it may not be simply a question of which study may be right or how both could fit into a common model. The difference could be the result of dose-dependent effects and biological responses between different cell lines or sublines thereof, which may be further complicated by the existence of a nuclear pool of CTMP in certain cell types (18).
Nevertheless, both articles make a strong case for the involvement of CTMP in modulating Akt activity and downstream response. An interesting molecule such as CTMP deserves further efforts directed at clarifying its role in animal physiology, especially given its potential as a therapeutic target to alter Akt-dependent responses. As the field of Akt signaling has learned, such insights may come from knockout approaches. Thus it should be only a matter of time until one of the many groups working on this pathway will step forward with a mutant mouse deficient for CTMP or one of Akt's other interacting proteins. CTMP is an excellent example for how the identification of Akt modulators has enriched our understanding of pathway function.
In the grander scheme of progress, it will be important to determine which of these molecules is the most relevant and how they affect Akt physiology on an organismal or tissue-specific level. As it stands now, it appears that Akt activity and function are subject to regulation by multiple modifiers, not yet including the possibility that several of these interacting proteins may compete for regulating Akt in parallel. How cells use the complexity of these possible interactions to fine-tune Akt-dependent responses and to compartmentalize specificity within the cellular context remains an important question to be answered by future studies.
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