Target intelligence / Profile preview

Protein Kinase B and Extracellular Signal-Regulated Kinase signaling pathway (AKT/ERK)

Target
AKT/ERK
Molecular classification
Intracellular signaling cascade, Serine/threonine-protein kinase family, Signal transduction network
01

Overview

The AKT/ERK signaling pathway refers to the integrated network and crosstalk between the PI3K/AKT/mTOR and the Ras/Raf/MEK/ERK (MAPK) cascades, which are the primary drivers of cellular growth, survival, and metabolism (Mendoza et al., 2011, Nature Reviews Molecular Cell Biology). These pathways integrate signals from cell surface receptors, such as receptor tyrosine kinases (RTKs), to regulate fundamental processes including cell cycle progression and protein synthesis (Saini et al., 2013, Science Signaling). In many malignancies, genetic alterations such as KRAS or PIK3CA mutations lead to constitutive activation of these pathways, driving tumor progression and therapeutic resistance (McCubrey et al., 2007, Leukemia). Because these pathways often exhibit reciprocal regulation—where inhibition of one leads to the compensatory activation of the other—they are frequently studied together in the context of dual-pathway inhibition (Carracedo et al., 2008, Journal of Clinical Investigation). Pharmacological targeting involves specific inhibitors of nodes like AKT (e.g., capivasertib) or MEK (e.g., trametinib), with clinical success often depending on the identification of specific genetic drivers. Monitoring the phosphorylation status of AKT and ERK serves as a critical biomarker for assessing pathway activity and drug target engagement in clinical trials.

Other names
PI3K/AKT and MAPK/ERK pathwaysAKT/ERK crosstalkRas/Raf/MEK/ERK and PI3K/AKT/mTOR pathwaysGrowth factor signaling network
02

Mechanism of action

Small-molecule inhibition of specific kinase components (e.g., AKT, MEK, or ERK) to prevent the phosphorylation of downstream substrates, thereby inhibiting signal transduction pathways essential for cell cycle progression and survival.

03

Biological functions

Cell proliferationCell survivalApoptosis regulationMetabolismProtein synthesisGene expression
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Disease associations

CancerDiabetes mellitusNeurodegenerative diseaseCardiovascular diseaseInflammatory diseases
05

Safety considerations

HyperglycemiaDermatologic toxicity (acneiform rash)Gastrointestinal distress (diarrhea)Cardiotoxicity (decreased LVEF)Ocular toxicity (retinal vein occlusion)Feedback activation of compensatory pathways
06

Interacting drugs

Capivasertib

7 more in the full profile.

07

Biomarkers

p-AKT (Ser473)p-ERK1/2 (Thr202/Tyr204)PTEN expression levelsPIK3CA mutation statusKRAS/BRAF mutation status

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