The role of the PI3K/AKT signalling pathway in the corneal epithelium: recent updates

Abstract Phosphatidylinositol 3 kinase (PI3K)/AKT (also called protein kinase B, PKB) signalling regulates various cellular processes, such as apoptosis, cell proliferation, the cell cycle, protein synthesis, glucose metabolism, and telomere activity. Corneal epithelial cells (CECs) are the outermos...

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Main Authors: Kuangqi Chen, Yanqing Li, Xuhong Zhang, Rahim Ullah, Jianping Tong, Ye Shen
Format: Article
Language:English
Published: Nature Publishing Group 2022-05-01
Series:Cell Death and Disease
Online Access:https://doi.org/10.1038/s41419-022-04963-x
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author Kuangqi Chen
Yanqing Li
Xuhong Zhang
Rahim Ullah
Jianping Tong
Ye Shen
author_facet Kuangqi Chen
Yanqing Li
Xuhong Zhang
Rahim Ullah
Jianping Tong
Ye Shen
author_sort Kuangqi Chen
collection DOAJ
description Abstract Phosphatidylinositol 3 kinase (PI3K)/AKT (also called protein kinase B, PKB) signalling regulates various cellular processes, such as apoptosis, cell proliferation, the cell cycle, protein synthesis, glucose metabolism, and telomere activity. Corneal epithelial cells (CECs) are the outermost cells of the cornea; they maintain good optical performance and act as a physical and immune barrier. Various growth factors, including epidermal growth factor receptor (EGFR) ligands, insulin-like growth factor 1 (IGF1), neurokinin 1 (NK-1), and insulin activate the PI3K/AKT signalling pathway by binding their receptors and promote antiapoptotic, anti-inflammatory, proliferative, and migratory functions and wound healing in the corneal epithelium (CE). Reactive oxygen species (ROS) regulate apoptosis and inflammation in CECs in a concentration-dependent manner. Extreme environments induce excess ROS accumulation, inhibit PI3K/AKT, and cause apoptosis and inflammation in CECs. However, at low or moderate levels, ROS activate PI3K/AKT signalling, inhibiting apoptosis and stimulating proliferation of healthy CECs. Diabetes-associated hyperglycaemia directly inhibit PI3K/AKT signalling by increasing ROS and endoplasmic reticulum (ER) stress levels or suppressing the expression of growth factors receptors and cause diabetic keratopathy (DK) in CECs. Similarly, hyperosmolarity and ROS accumulation suppress PI3K/AKT signalling in dry eye disease (DED). However, significant overactivation of the PI3K/AKT signalling pathway, which mediates inflammation in CECs, is observed in both infectious and noninfectious keratitis. Overall, upon activation by growth factors and NK-1, PI3K/AKT signalling promotes the proliferation, migration, and anti-apoptosis of CECs, and these processes can be regulated by ROS in a concentration-dependent manner. Moreover, PI3K/AKT signalling pathway is inhibited in CECs from individuals with DK and DED, but is overactivated by keratitis.
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spelling doaj.art-06baf2d2591a44889f03a1635fb59fac2022-12-22T03:22:28ZengNature Publishing GroupCell Death and Disease2041-48892022-05-0113511310.1038/s41419-022-04963-xThe role of the PI3K/AKT signalling pathway in the corneal epithelium: recent updatesKuangqi Chen0Yanqing Li1Xuhong Zhang2Rahim Ullah3Jianping Tong4Ye Shen5Department of Ophthalmology, the First Affiliated Hospital, School of Medicine, Zhejiang UniversityDepartment of Ophthalmology, the First Affiliated Hospital, School of Medicine, Zhejiang UniversityDepartment of Ophthalmology, the First Affiliated Hospital, School of Medicine, Zhejiang UniversityDepartment of Endocrinology, Children’s Hospital of Zhejiang University School of Medicine, National Clinical Research Center for Child HealthDepartment of Ophthalmology, the First Affiliated Hospital, School of Medicine, Zhejiang UniversityDepartment of Ophthalmology, the First Affiliated Hospital, School of Medicine, Zhejiang UniversityAbstract Phosphatidylinositol 3 kinase (PI3K)/AKT (also called protein kinase B, PKB) signalling regulates various cellular processes, such as apoptosis, cell proliferation, the cell cycle, protein synthesis, glucose metabolism, and telomere activity. Corneal epithelial cells (CECs) are the outermost cells of the cornea; they maintain good optical performance and act as a physical and immune barrier. Various growth factors, including epidermal growth factor receptor (EGFR) ligands, insulin-like growth factor 1 (IGF1), neurokinin 1 (NK-1), and insulin activate the PI3K/AKT signalling pathway by binding their receptors and promote antiapoptotic, anti-inflammatory, proliferative, and migratory functions and wound healing in the corneal epithelium (CE). Reactive oxygen species (ROS) regulate apoptosis and inflammation in CECs in a concentration-dependent manner. Extreme environments induce excess ROS accumulation, inhibit PI3K/AKT, and cause apoptosis and inflammation in CECs. However, at low or moderate levels, ROS activate PI3K/AKT signalling, inhibiting apoptosis and stimulating proliferation of healthy CECs. Diabetes-associated hyperglycaemia directly inhibit PI3K/AKT signalling by increasing ROS and endoplasmic reticulum (ER) stress levels or suppressing the expression of growth factors receptors and cause diabetic keratopathy (DK) in CECs. Similarly, hyperosmolarity and ROS accumulation suppress PI3K/AKT signalling in dry eye disease (DED). However, significant overactivation of the PI3K/AKT signalling pathway, which mediates inflammation in CECs, is observed in both infectious and noninfectious keratitis. Overall, upon activation by growth factors and NK-1, PI3K/AKT signalling promotes the proliferation, migration, and anti-apoptosis of CECs, and these processes can be regulated by ROS in a concentration-dependent manner. Moreover, PI3K/AKT signalling pathway is inhibited in CECs from individuals with DK and DED, but is overactivated by keratitis.https://doi.org/10.1038/s41419-022-04963-x
spellingShingle Kuangqi Chen
Yanqing Li
Xuhong Zhang
Rahim Ullah
Jianping Tong
Ye Shen
The role of the PI3K/AKT signalling pathway in the corneal epithelium: recent updates
Cell Death and Disease
title The role of the PI3K/AKT signalling pathway in the corneal epithelium: recent updates
title_full The role of the PI3K/AKT signalling pathway in the corneal epithelium: recent updates
title_fullStr The role of the PI3K/AKT signalling pathway in the corneal epithelium: recent updates
title_full_unstemmed The role of the PI3K/AKT signalling pathway in the corneal epithelium: recent updates
title_short The role of the PI3K/AKT signalling pathway in the corneal epithelium: recent updates
title_sort role of the pi3k akt signalling pathway in the corneal epithelium recent updates
url https://doi.org/10.1038/s41419-022-04963-x
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