Abstract
Signal cascade PI3K/Akt/mTOR/p70S6K plays an important role in the pathogenesis of cancer and diabetes. Macrophages and lymphocytes are involved in the development of diabetes, diabetic atherosclerosis, the formation of tissue resistance to insulin, as well as in the immune response to cancer and tumor support. The aim of the study was to determine the activation of Akt by mTORC2 kinase in peripheral blood mononuclear cells (PBMC) of patients with type 2 diabetes and cancer. Material and methods. The following groups were studied: 1 — the control group, 2 — patients with breast cancer, 3 — patients with endometrial cancer, 4 — patients with bowel cancer, 5 — patients with pancreatic cancer. The amount of phospho-Akt (p-S473), insulin and insulin-like growth factor‑1 (IGF‑1) was determined using enzyme immunoassay. Results. Insulin and IGF‑1 levels are higher in the blood of patients with breast and endometrial cancer compared with control, as well as bowel and pancreatic cancer. The change in the content of activated Akt in PMBC generally corresponds to the concentration of insulin and IGF‑1 in the blood. The differences between breast/endometrial cancers and pancreatic/bowel cancers with IGF‑1/insulin content in the blood and Akt activation in PMBC can be explained by the presence of hormonal background (estrogens) specific for the first two types of cancer. Conclusion. Chronic diseases such as type 2 diabetes and cancer can affect the signaling mechanisms in blood cells. The state of Akt phosphorylation in PMBC may indicate the activity of mTORC1 and its substrates, which may be important for the assessment of the pathological process and the effectiveness of treatment.
References
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