Target intelligence / Profile preview

cAMP-dependent protein kinase catalytic subunit (PKAc) (PKAc)

Target
PKAc
Molecular classification
Enzyme, Serine/threonine protein kinase, AGC kinase family
01

Overview

The cAMP-dependent protein kinase catalytic subunit (PKAc) is the enzymatic component of the Protein Kinase A (PKA) holoenzyme, a central mediator of the second messenger cyclic AMP (cAMP) signaling pathway (StatPearls, PMID: 30252315). In its inactive state, PKAc is sequestered by regulatory subunits; upon cAMP binding to these subunits, PKAc is released to phosphorylate a wide array of substrate proteins on serine and threonine residues. This phosphorylation regulates diverse cellular processes, including glucose and lipid metabolism, gene transcription via CREB, and ion channel activity (UniProt, P17612). Dysregulation of PKAc is linked to various pathologies, most notably through gain-of-function mutations or gene fusions. For instance, the DNAJB1-PRKACA fusion is a hallmark of fibrolamellar hepatocellular carcinoma, while somatic mutations like L206R are frequently found in adrenal tumors causing Cushing's syndrome (PubMed, PMID: 24523430; PMID: 24572368). While PKAc is a critical therapeutic target, its ubiquitous expression and involvement in fundamental physiological processes present significant challenges for achieving selective inhibition without systemic toxicity. Current drug discovery efforts are focused on identifying isoform-specific inhibitors or targeting the unique protein-protein interfaces created by oncogenic fusions.

Other names
PRKACAPRKACBPRKACGPKA-CProtein kinase A catalytic subunitcAMP-dependent protein kinase catalytic subunit alphacAMP-dependent protein kinase catalytic subunit betacAMP-dependent protein kinase catalytic subunit gamma
02

Mechanism of action

PKAc functions as a serine/threonine kinase that phosphorylates substrates containing the consensus motif Arg-Arg-X-Ser/Thr, following its release from the PKA regulatory subunits upon cAMP binding (UniProt, P17612; StatPearls, PMID: 30252315).

03

Biological functions

Signal transductionMetabolism regulationGene expressionCell proliferationApoptosisIon channel regulationSynaptic plasticity
04

Disease associations

CancerCushing's syndromeFibrolamellar hepatocellular carcinomaCardiovascular diseaseMetabolic disordersNeurodegenerative disease
05

Safety considerations

Ubiquitous expression leading to systemic toxicityPotential for severe cardiovascular side effects including heart failureDisruption of fundamental metabolic homeostasisLack of isoform selectivity in current small molecule inhibitorsPotential for cognitive and neurological impairment
06

Interacting drugs

H-89

6 more in the full profile.

07

Biomarkers

DNAJB1-PRKACA fusion transcriptPRKACA L206R mutationPhospho-CREB (Ser133)Intracellular cAMP levels

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