Figure 4From: RETRACTED ARTICLE: Exemestane blocks mesothelioma growth through downregulation of cAMP, pCREB and CD44 implicating new treatment option in patients affected by this diseaseHypothesized mechanism of action of exemestane on MPM cells. The GPCR receptor binds estrogen and cause estrogen-mediated cAMP stimulation and PI3K cascade. PI3K phosphorylates AKT (pAkt) which in turn regulates Bcl-xL, anti-apoptotic protein. cAMP stimulates PKA, which in turn activates CREB that translocates into the nucleus and acts as a transcription factor for CD44. The action of exemestane is carried out by reducing the levels of estradiol, its binding with GPCR and related downstream pathway.Back to article page