Alright. So here in this video, we're going to introduce our first specific receptor Tyrosine Kinase or RTK signaling pathway. More specifically, we're going to look at the insulin RTK signaling pathway on glucose metabolism, which allows insulin to signal decreased blood glucose concentration. We'll see that there are 6 steps involved in insulin's RTK signaling cascade that allows, again, insulin to decrease blood glucose levels. Notice, in our text below, we're numbering each of these 6 steps in insulin's RTK signaling pathway. The numbers here in our text correspond with the numbers in our image down below right here.
In the very first step of this insulin RTK signaling pathway on glucose metabolism, this occurs after a high glucose meal. After a high glucose meal, there's a high concentration of glucose in our blood. Insulin's job is to help decrease that blood glucose concentration immediately after a high glucose meal. After a high glucose meal, insulin is released into our bloodstream, and it will travel through the blood and diffuse until it binds to its receptor, the insulin receptor. The insulin receptor is going autophosphorylate itself and fully activate its Tyrosine Kinase domains. The fully activated receptor will then phosphorylate and activate its substrate, the insulin receptor substrate 1 or IRS 1. We've already covered this process here in our previous lesson videos, but let’s take a look below at our image for a refresher.
Notice that number 1 is right over here. After a high glucose meal, insulin is going to activate, fully activate its Tyrosine Kinase domains. The Tyrosine Kinase domains here on the insulin receptor will be able to phosphorylate the insulin receptor substrate or IRS 1. In step number 1, notice that we have the phosphorylation of IRS 1. The phosphorylation and the activation, I should say, of IRS 1. Because this is a Tyrosine Kinase domain, IRS 1 is going to be phosphorylated at Tyrosine Residues.
After we get phosphorylation and activation of IRS 1, that leads us to step number 2 in this pathway. In step number 2, the activated IRS 1 is going to bind to the SH 2 domain of a protein called phosphoinositide 3 kinase or PI3K for short. Here we can put in PI3K. When the active IRS 1, which we know is an adapter protein, binds to the SH 2 domain of PI3K, it's actually going to activate PI3K. If we take a look below at our image at step number 2, we can get a better visual of this. After we get a phosphorylated and activated IRS protein, it's going to act as an adapter protein, which again means that it's not going to have enzymatic activity, but it's going to help bring proteins together. More specifically, it's going to help bring in the protein PI3K.
Notice that PI3K here actually has an SH 2 domain, which recall these are domains that will bind to phosphorylated tyrosine residues. And IRS 1 is phosphorylated at tyrosine residues. So, now the binding of PI3K to IRS one activates PI3K. PI3K again is a kinase, and we know that kinases are enzymes that phosphorylate their substrates. We should expect that PI3K is going to phosphorylate its substrate, especially when it is activated. That leads us into step number 3.
In step number 3, we will see that the PI3K or the kinase here is going to phosphorylate its substrate which is phosphatidylinositol 4,5-bisphosphate or PIP2. We've seen PIP2 before act as a substrate in our phosphoinositide GPCR signaling pathway in our previous lesson videos. This is the same PIP2; it's acting as a substrate once again, but for a different enzyme. This time it's acting as a substrate for PI3Ks, which is a kinase. Instead of being hydrolyzed, PIP2 is going to be phosphorylated by this kinase. You can see here that PI3K is acting as the catalyst that will convert PIP2 into phosphatidylinositol 3,4,5-triphosphate or PIP3.
PIP3 differs from PIP2 in just one phosphate group, again, because the PI3K kinase is phosphorylating PIP2 into PIP3. If we take a look at our step number 3 down below in our image, we can get a better visual of this. Notice that in our step number 3, what we have is PIP2, once again, is acting as a substrate. But this time for the enzyme PI3K, which is again a kinase. So it's going to take the substrate PIP2 and phosphorylate it, and that's what we see here in step number 3. That generates PIP3, of course. Notice that PIP3 has one additional phosphate group at this position right here, sorry, that PIP2 does not have.
Now that we have PIP3 formation, that leads us into step number 4. Notice that PIP3 is membrane-bound. It is bound to that membrane, and so it can only laterally diffuse in the membrane. PIP3 is going to laterally diffuse and bind to yet another kinase called protein kinase B or PKB here for short. We can put PKB here in this blank. What's important to note is that in some of your textbooks, PKB is sometimes referred to as AKT. But really, PKB and AKT are referring to the same exact protein. If we take a look at our image down below at our step number 4, notice that PIP3 once generated, is bound to this membrane. So it can only laterally diffuse in the membrane, but it will laterally diffuse and bind to another kinase over here, this protein over here called again, PKB or AKT, depending on your textbook.
This is going to lead us to step number 5. In step number 5, what's important to know is that yet another kinase is going to come into play. A kinase called PIP3 Dependent Kinase 1 or PDK1 for short. PDK1, again, is a kinase, so it's also going to phosphorylate its substrate, and its substrate is actually going to be PKB. PDK1 is going to phosphorylate and activate PKB. But notice that PDK1 is a PIP3-dependent kinase, which means that it also needs to bind to PIP3 because it's dependent on PIP3. If we take a look at our step number 5 down below, over here, what you'll notice is that we have another PIP3 molecule right over here. PIP3s can convert multiple PIP2 molecules into PIP3. One of those PIP3 will bind to PKB, and the other PIP3 over here is going to bind to this other enzyme, PDK1 that you can see right here, this green structure. PDK1 is again another kinase that's going to phosphorylate its substrate, and the substrate is PKB. Notice that because PDK1 is a kinase, it will use ATP to phosphorylate its substrate. You can see that now PKB has been phosphorylated in our step number 5 right here.
This leads us into step number 6, and that is that now that PKB has been phosphorylated by PDK1, it is now active. The active PKB, again, is a kinase. So protein kinase B is a kinase itself. So it's going to phosphorylate its target substrates as well. The active PKB is going to regulate targets that control GLUT4 expression as well as glycogen synthesis. Of course, we know that GLUT4 expression is going to increase and glycogen synthesis is also going to increase. Both of these events, the increase in GLUT4 expression, and the increase in glycogen synthesis, are going to help decrease blood glucose concentration.
If we take a look at our image down below at step number 6, what you'll notice is that PKB is going to phosphorylate a bunch of targets that we're not going to get into the details of in this video. In step number 6, you can see that PKB will phosphorylate targets that lead to vesicle fusion here, vesicles that contain GLUT4. And GLUT4 in this vesicle will fuse with the plasma membrane to express GLUT4 in the membrane, and so we get an increase in GLUT4 expression in the membrane. Notice that down below over here, in step number 6, we also get an increase in glycogen synthesis. So glucose, free glucose that's within the cell, is going to be converted into glycogen because PKB is going to activate very specific enzymes.
What this glycogen synthesis is going to lead to relatively low glucose inside the cell. After eating a meal, the glucose concentration in the bloodstream, which we're showing up here, is going to be quite high. So high glucose in the blood, low glucose in the cell because it's being converted into glycogen. That's going to allow for glucose to be transported down its concentration gradient and into the cell. The GLUT4 is going to facilitate that transport of glucose from the blood and into the cell. Again, this is going to lead to decreased blood glucose concentration.
Now you can see that these 6 steps that we've talked about here in this video really do lead to decreased blood glucose levels, and insulin does signal decreased blood glucose concentration. This is the pathway, the insulin RTK signaling pathway that allows it to do that. Moving forward, we are not going to get into the specific enzymes that are going to be phosphorylated by PKB that lead to vesicle fusion here. We're not going to get into that moving forward. However, what we are going to get into is the specific enzymes that lead to glycogen synthesis and how they get affected by PKB. In our next video, we'll be able to talk more ab