An Update on the Role of PI3K/ PTEN/ AKT Signaling Pathways in the Generation of Germ Cell Along with their Implications in Germ Cell Tumors Besides Ovarian Impairment: A Narrative Review

Abstract

Numerous studies have pointed that the PI3K/ PTEN/ AKT signaling pathways are the key controllers of generation of germ cells precursors labeled as Primordial germ cells in addition to sustenance of follicular pool. Earlier we have already highlighted the role of MAPK/ERK along with Hippo/MST signaling for escalating of effectiveness as well as avoidance of chemo resistance in various Cancer Therapies besides modes by which chemotherapy with utilization of alkylating Agents result in follicular activation if there was any further deletion of primordial follicles? along with use of manipulation of the signaling pathways inclusive of PI3K/Akt pathway along with Hippo signaling path way in the Yes-associated protein (YAP) transcriptional coactivator with post synaptic density protein, drosophila disc large tumor suppressor [PDZ] and zonula occludens-1-binding motif (TAZ) -besides other controlling constituents in the generation of the EFs correlated with development of Early/ Primordial Follicles for the escalated ART results in premature ovarian insufficiency (POI) & DOR patients. Here we concentrated on further updating the knowledge regarding germ cell tumors production besides reemphasizing on the dynamics of the ovarian Primordial germ cells pools besides decontrolling of these pathways In the generation of germ cell tumors along with ovarian impairment inclusive of, premature ovarian insufficiency (POI), premature ovarian failure (POF) & diminished ovarian reserve (DOR) patients. Thus here we conducted a review utilizing search engine pubmed, google scholar; web of science; embase; Cochrane review library utilizing the MeSH terms like germ cells origin; Primordial germ cells; PI3K/PTEN/AKT signaling pathways; Hippo/MST pathways; mammalian target of rapamycin complex (mTORC); eukaryotic translation initiation factor 4E binding protein 1( (4E-BP1) c; TAZ; YAP ; MST1/2. We searched from 1990’s till date in 2022 We found 150 articles of which we used 62 articles for this narrative review or updating the pathways implicated and detail these PI3K/ PTEN/AKT signaling pathways mainly from point of view of Primordial germ cells development besides germ cell tumors development.