Insulin plays a key role in regulating a wide range of cellular proces
ses. However, until recently little was known about the signalling pat
hways that are involved in linking the insulin receptor with downstrea
m responses. It is now apparent that the activation of class la phosph
oinositide 3-kinase (PI 3-kinase) is necessary and in some cases suffi
cient to elicit many of insulin's effects on glucose and lipid metabol
ism. The lipid products of PI 3-kinase act as both membrane anchors an
d allosteric regulators, serving to localize and activate downstream e
nzymes and their protein substrates. One of the major ways these lipid
products of PI 3-kinase act in insulin signalling is by binding to pl
eckstrin homology (PH) domains of phosphoinositide-dependent protein k
inase (PDK) and protein kinase B (PKB) and in the process regulating t
he phosphorylation of PKB by PDR. Using mechanisms such as this, PI 3-
kinase is able to act as a molecular switch to regulate the activity o
f serine/threonine-specific kinase cascades important in mediating ins
ulin's effects on endpoint responses.