Convincing epidemiological evidence exists for a causal relationship between increased
risk of cancer development and progression and type 2 diabetes mellitus as well as
obesity. Though the underlying mechanisms remain elusive, in light of the well-described
mitogenic actions of insulin, hyperinsulinaemia in the presence of insulin resistance
is probably a key factor. In this short review, an overview over the insulin signalling
cascade is given paying special attention to the mitogen-activated protein kinase
(MAPK) and phosphatidylinositol 3-kinase (PI 3-K)/mammalian target of rapamycin (mTOR)
pathways which are involved in protein synthesis and cell growth.
mammalian target of rapamycin - MAPK - mitogen-activated protein kinase - mTOR - phosphatidylinositol
3-kinase - PI 3-K - RafRas - small molecule inhibitors - tumorigenesis