Nutrient depletion pathways in the activation of autophagy. A. In the presence of nutrients, growth factor and amino acids, Sirt1 and AMPK are inactive, whereas AKT is activated by the growth factor receptors. AKT activates mTOR directly, and indirectly by blocking its inhibitor TSC1/2. The mTOR complex sequesters and phosphorylates the Ulk1 complex, and phosphorylates and inhibits the Beclin/class III PI3K complex. P300 acetylates and inhibits LC3, Atg7, Atg5 and ATg12, members of the ubiquitin-like systems involved in the elongation of the phagophore. Autophagy is inhibited. B. In the absence of nutrients, growth factors and amino acids AKT is inactive, whereas AMPK is activated by the low AMP/ATP ratio. AMPK inhibits mTOR directly and indirectly, by activating its inhibitor TSC1/2. AMPK also bind to the Ulk1 complex, phosphorylating Ulk1. The Ulk1 complex phosphorylates the Beclin/class III PI3K complex, which generates PIP3 and this leads to the initiation of the phagophore. Caloric restriction also activates Sirt1, which deacetylates LC3, Atg7, Atg5 and FoXO3. This leads to the activation of the ubiquitin-like systems (Atg5, 12, 16 and LC3-II) involved in the elongation of the phagophore and also to the activation of transcription by FoxO3. The combination of these programs activates cellular autophagy.