NNK and nicotine activate the serine/threonine kinase Akt taking part in key cellular processes such as glucose metabolism, cell cycle progression and apoptosis and were found to stimulate Akt signal transduction in normal human bronchial epithelial cells [NHBE cells] and small airway epithelial cells, which serve as precursors to squamous cell carcinomas and adenocarcinomas, respectively. The gene discussed is AKT1; the disease is adenocarcinoma.