Mitochondrial Hexokinases: Guardians of the Mitochondria

Abstract

There is accumulating evidence that cell survival and metabolism are inexorably linked. As a majormediator of both the metabolic and anti-apoptotic effects of growth factors, the serine/threonine kinaseAkt (also known as protein kinase B or PKB) is particularly well-suited to coordinate the regulation ofthese interrelated processes. Recent demonstrations that growth factors and Akt require glucose (Glc) toprevent apoptosis and promote cell survival are compatible with this contention, as is a positivecorrelation between Akt-regulated mitochondrial hexokinase (mtHK) association and apoptoticresistance. From a phylogenetic perspective, the ability of Akt to regulate cellular metabolismapparently preceded the capacity to control cell survival, suggesting an evolutionary basis for the Glcdependent anti-apoptotic effects of Akt. We speculate that, somewhere in the course of evolution, themetabolic regulatory function of Akt evolved into an adaptive sensing system involving mtHK thatensures mitochondrial homeostasis, thereby coupling metabolism to cell survival. We also propose thatthis “guardian” function of mtHK may be specifically exploited for therapeutic purposes.