Scientific Figure
PI3K/AKT Pathway Tool

PI3K/AKT Signaling Pathway Diagram Maker

Draw PI3K/AKT signaling pathway diagrams with PIP3, PTEN, PDK1 and both mTOR complexes, AKT substrates grouped by outcome, PIK3CA mutations and inhibitor feedback loops. For cancer biology and pharmacology.

PI3K/AKT signaling pathway examples

Real renders of the prompts shown: the full PI3K/AKT cascade to mTORC1, BAD, FOXO and MDM2, an eight-label overview, cancer mutations and targeted drugs, and a blank version. Click one to load and edit its prompt.

Full labeled pathway
Simple overview
Cancer and drug targets
Blank worksheet
Labeled PI3K/AKT signaling pathway diagram: receptor tyrosine kinase, PI3K, PIP3, PTEN, PDK1, mTORC2, AKT, TSC2, BAD, MDM2
The PI3K/AKT module from receptor to AKT's five targets, with PTEN and both phosphorylation sites, as the tool draws it by default.

AKT turns on to turn its targets off

Read down; a flat bar means AKT switches it off.

  1. 1

    Receptor → PI3K

    The active receptor docks p85; p110 is the catalytic subunit.

  2. 2

    PIP2 ⇄ PIP3

    PI3K makes PIP3 at the membrane; PTEN turns it back into PIP2.

  3. 3

    PDK1 + mTORC2 → AKT

    They phosphorylate AKT at Thr308 and Ser473, making it fully active.

  4. 4

    AKT's five targets

    TSC1/TSC2, GSK3β, BAD and FOXO switched off; MDM2 on, against p53.

PI3K/AKT pathway diagram with cancer mutations and drug targets: PIK3CA, PTEN loss, AKT1 E17K, alpelisib, capivasertib
The PI3K/AKT pathway in cancer: PIK3CA, PTEN and AKT1 alterations, with alpelisib, capivasertib, everolimus and temsirolimus on their targets.

Locked on by mutation, blocked by drugs

Red stars: mutations. Green boxes: drugs.

  1. 1

    PI3K (p110α)

    A PIK3CA mutation keeps p110α on; alpelisib bars PI3K.

  2. 2

    PTEN, crossed out

    With PTEN lost, PIP3 is no longer cleared.

  3. 3

    AKT and mTORC1

    AKT1 E17K drives AKT; capivasertib bars AKT, everolimus bars mTORC1.

PI3K/AKT/mTOR figures by research question

The second figure above marks the cancer mutations and approved drugs, and the table below sets the pathway beside Ras/MAPK. These are the other figures papers and reviews draw of the same module; say which question your figure answers.

PI3K/AKT/mTOR with both mTOR complexes

Both complexes in their real positions: mTORC2 (mTOR, Rictor, mSIN1) upstream of AKT, phosphorylating Ser473; mTORC1 (mTOR, Raptor) downstream, on the lysosome, where GTP-bound Rheb activates it once AKT has switched off TSC2. Add the inputs AKT does not control — amino acids through the Rag GTPases, low energy through AMPK, which activates TSC2 and inhibits Raptor — and the outputs: S6K1 and 4E-BP1 for protein synthesis, SREBP for lipid synthesis, inhibition of ULK1 for autophagy.

AKT substrates grouped by outcome

AKT has over a hundred proposed substrates; a figure groups the established ones by what they control. Survival: BAD, FOXO3a (less BIM and Fas ligand) and MDM2, which degrades p53. Growth: TSC2 and PRAS40, both releasing mTORC1. Metabolism: GSK3β (glycogen), AS160 (GLUT4) and FOXO1 (gluconeogenic genes). Cell cycle: p27Kip1 and p21Cip1, held in the cytoplasm. Every target except MDM2 is switched off by the phosphate, so each takes an inhibition bar.

Upstream receptors and the four PI3K isoforms

Several receptors above one lipid. Receptor tyrosine kinases — EGFR, the HER2–HER3 dimer, IGF-1R, the insulin receptor through IRS-1 — recruit class IA PI3K through p85; HER3, with six p85 docking sites, is the strongest single activator. G protein-coupled receptors act through Gβγ on p110β and p110γ. The class I catalytic subunits are p110α (PIK3CA), p110β (PIK3CB) and p110δ (PIK3CD), each paired with p85, and p110γ (PIK3CG), paired with p101 or p84; δ and γ are mostly in white blood cells, which is why the p110δ inhibitor idelalisib treats B-cell cancers.

PIK3CA mutation map

The p110α protein as a bar of domains — adaptor-binding, Ras-binding, C2, helical, kinase — with the hotspots marked: E542K and E545K in the helical domain, which break the inhibitory contact with the nSH2 domain of p85, and H1047R in the kinase domain, which increases binding to the membrane. They make up most PIK3CA mutations in breast cancer, where about 40% of HR-positive, HER2-negative tumors carry one.

Feedback loops after PI3K, AKT or mTOR inhibition

Why a single-node inhibitor loses effect, drawn as loops back to the top. mTORC1–S6K1 normally phosphorylates IRS-1 and sends it for degradation; rapalogs remove that brake, and AKT phosphorylation rises. AKT normally keeps FOXO out of the nucleus; AKT or PI3K inhibitors free FOXO to raise HER3, IGF-1R and insulin receptor expression, which reactivates the pathway. Systemic insulin: blocking PI3Kα raises blood glucose, the pancreas releases insulin, and insulin drives PI3K in the tumor again.

Inherited and mosaic PI3K pathway disorders

Outside cancer the same nodes cause growth disorders. PTEN hamartoma tumor syndrome, including Cowden syndrome: germline PTEN loss, hamartomas and higher breast, thyroid and endometrial cancer risk. PIK3CA-related overgrowth spectrum: mosaic activating PIK3CA mutations, treated with alpelisib. Proteus syndrome: mosaic AKT1 E17K. Tuberous sclerosis complex: germline TSC1 or TSC2 loss leaves mTORC1 constantly on; everolimus shrinks subependymal giant cell astrocytomas and renal angiomyolipomas.

What is the PI3K/AKT signaling pathway?

The PI3K/AKT signaling pathway is the module in which an activated receptor recruits class I PI3K, PI3K converts PIP2 into PIP3 at the membrane, and PIP3 brings AKT to PDK1 and mTORC2, which phosphorylate it so it can switch on mTORC1 and switch off TSC2, GSK3β, FOXO and BAD. Its outputs are cell growth, survival and metabolism; the phosphatase PTEN turns it off.

Key facts

  • Class I PI3K is a two-part enzyme. A p85 regulatory subunit keeps the p110 catalytic subunit inactive until its SH2 domains bind phosphotyrosines on an activated receptor or adaptor; receptor tyrosine kinases activate class IA isoforms and G protein-coupled receptors class IB.
  • PIP3 is the signal, and PTEN erases it. PI3K adds a phosphate at the 3 position of the inositol ring of PIP2; PTEN takes it off again, so losing PTEN leaves PIP3 — and AKT — switched on.
  • AKT needs two phosphates to be fully active. PDK1 phosphorylates Thr308 and mTORC2 phosphorylates Ser473 (numbering of AKT1). Reactome puts Ser473 first, as the step that lets PDK1 reach Thr308; older textbooks, such as the 2002 edition of Alberts' Molecular Biology of the Cell, show PDK1 alone.
  • AKT mostly works by switching its targets off. Phosphorylation inactivates TSC2, so Rheb can activate mTORC1, and inactivates GSK3β, the FOXO transcription factors (exported from the nucleus) and the pro-apoptotic protein BAD (held by 14-3-3); MDM2 is the exception, sent into the nucleus to degrade p53.
  • It is often switched on permanently in cancer. Gain-of-function mutations in PIK3CA (p110α) and PIK3R1 (p85α), the rare AKT1 E17K mutation and loss-of-function mutations in PTEN all keep the pathway active without a growth factor.

Components of the PI3K/AKT pathway and what each one does

The nodes a labeled PI3K/AKT pathway diagram is normally expected to show, in order, what each one does and what it acts on next. This is the default label set unless you ask for a shorter one.

NodeWhat it doesActs on next
Receptor tyrosine kinase or GPCRBinds a growth factor or other ligand and becomes activeRecruits PI3K: an RTK through phosphotyrosines, a GPCR through Gβγ
Class I PI3K (p85/p110)Lipid kinase; p85 binds the receptor, p110 phosphorylates PIP2Makes PIP3
PIP3Lipid messenger in the inner leaflet of the plasma membraneRecruits PDK1 and AKT through their PH domains
PTENLipid phosphatase and tumor suppressorTurns PIP3 back into PIP2, switching AKT off
PDK1 and mTORC2Phosphorylate AKT at Thr308 (PDK1) and Ser473 (mTORC2)Fully active AKT
AKT (AKT1, AKT2, AKT3)Serine/threonine kinase that leaves the membrane to phosphorylate its targetsTSC2, GSK3β, FOXO, BAD, MDM2
TSC1/TSC2GAP complex that keeps Rheb in its inactive GDP-bound form; inhibited by AKTRheb
Rheb → mTORC1GTP-bound Rheb activates mTORC1S6K1 and 4E-BP1 → protein synthesis and cell growth
GSK3βKinase inhibited by AKTGlycogen synthase and other metabolic targets
FOXOTranscription factors exported from the nucleus once AKT phosphorylates themGenes for apoptosis, cell-cycle arrest and glucose metabolism go quiet
BADPro-apoptotic protein; held by 14-3-3 once AKT phosphorylates itApoptosis blocked, cell survival
MDM2E3 ubiquitin ligase; AKT phosphorylation sends it into the nucleusp53 degraded

Draw AKT's targets as inhibition bars, not arrows — except MDM2. TSC2, GSK3β, FOXO and BAD are all inactivated when AKT phosphorylates them, so mTORC1 is switched on by a double negative (AKT ⊣ TSC2 ⊣ Rheb). A diagram with plain arrows from AKT to every target gets four of the five backwards.

PI3K/AKT vs Ras/MAPK: what is the difference?

Both start at the same activated receptor tyrosine kinases, but PI3K/AKT relays the signal through a membrane lipid, PIP3, and one kinase, AKT, to control growth, survival and metabolism, while Ras/MAPK relays it through a GTPase switch and a three-kinase cascade, Raf → MEK → ERK, mainly to control proliferation and differentiation through gene transcription. The two cross-talk: GTP-bound Ras can bind and activate p110.

PI3K/AKTRas/MAPK
Adaptor at the receptorp85 subunit of PI3K, through its SH2 domainsGrb2, bound to the GEF SOS; Shc on some receptors
RelayLipid messenger PIP3 in the inner membrane leafletSmall GTPase Ras, active when GTP-bound
Kinase stepsPDK1 and mTORC2 → AKTRaf → MEK1/2 → ERK1/2
Main outputsCell growth (mTORC1), survival (BAD, FOXO), metabolismProliferation and differentiation, immediate early gene transcription
Switched off byPTEN removing the 3-phosphate from PIP3GAPs speeding GTP hydrolysis by Ras
Typical cancer changesPIK3CA and PIK3R1 gain of function, PTEN loss, AKT1 E17KHyperactive RAS mutants, BRAF V600E
Approved inhibitorsAlpelisib, inavolisib, idelalisib (PI3K); capivasertib (AKT); everolimus, temsirolimus (mTOR)Vemurafenib (BRAF V600E); trametinib (MEK1/2)

Draw them as two branches from one receptor, not one line, with Ras able to feed into PI3K. The insulin signaling pathway is the classic teaching example of the split: its IRS–PI3K–AKT branch carries the metabolic effects and its Shc–Grb2–Ras branch the growth effects.

Common questions about the PI3K/AKT pathway

What are the steps of the PI3K/AKT pathway?

A growth factor activates its receptor; PI3K docks on it and turns PIP2 into PIP3; PIP3 recruits AKT and PDK1 to the membrane; mTORC2 phosphorylates AKT at Ser473 and PDK1 phosphorylates it at Thr308; and active AKT phosphorylates TSC2, GSK3β, FOXO, BAD and MDM2. PTEN reverses the second step by turning PIP3 back into PIP2.

What does PTEN do in the PI3K/AKT pathway?

PTEN is a lipid phosphatase that removes the 3-phosphate from PIP3, turning it back into PIP2 and so switching AKT off. It is the direct opposite of PI3K, which is why PTEN is drawn beside PI3K at the membrane with an arrow from PIP3 back to PIP2.

Why do PTEN loss and PIK3CA mutations activate the pathway in cancer?

Both leave PIP3 high without a growth factor: activating PIK3CA mutations free p110α from the brake of p85 or lock it in an active shape, and PTEN loss removes the phosphatase that would clear the PIP3. Either way AKT stays active, and cells keep growing and resist apoptosis. The rare AKT1 E17K mutation does the same further down by letting AKT bind PIP2 and be activated without PI3K.

How does AKT activate mTORC1?

Indirectly: AKT phosphorylates TSC2 and breaks up the TSC1/TSC2 complex, a GAP that keeps Rheb inactive, so GTP-bound Rheb accumulates and activates mTORC1. mTORC1 then phosphorylates S6K1, which activates ribosomal protein S6, and 4E-BP1, which releases eIF4E for translation.

What is the difference between mTORC1 and mTORC2?

mTORC1 (with Raptor) sits downstream of AKT and drives protein synthesis and cell growth; mTORC2 (with Rictor) sits upstream, phosphorylating AKT at Ser473. Rapamycin and the rapalogs inhibit only mTORC1, because Rictor masks the rapamycin-binding site in mTORC2.

Which drugs target the PI3K/AKT/mTOR pathway?

Three classes are approved: PI3K inhibitors (alpelisib and inavolisib for PIK3CA-mutant breast cancer, idelalisib for PI3Kδ in chronic lymphocytic leukemia), the AKT inhibitor capivasertib, and the mTOR inhibitors everolimus and temsirolimus. Capivasertib, approved in 2023, is used with fulvestrant for breast cancer with PIK3CA, AKT1 or PTEN alterations.

Why do PI3K and AKT inhibitors raise blood sugar?

Insulin uses the same PI3K–AKT steps to move GLUT4 to the cell surface and to hold back glucose production in the liver, so blocking them blocks part of insulin's action. The alpelisib label warns of severe hyperglycemia and asks for fasting glucose and HbA1c to be checked before treatment starts.

What is the difference between the PI3K/AKT pathway and the insulin signaling pathway?

The insulin signaling pathway is one route into the PI3K/AKT module — through the insulin receptor and IRS proteins — read out as metabolism: GLUT4, glycogen and gluconeogenesis. This page draws the generic module used by many growth factors, with mTORC1, BAD and MDM2; for the physiological version use the insulin signaling pathway diagram maker.

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