Target intelligence / Profile preview

cGMP-dependent protein kinase (PKG)

Target
PKG
Molecular classification
Enzyme (specifically, serine/threonine protein kinase), Intracellular receptor (for cGMP)
01

Overview

cGMP-dependent protein kinase (PKG) is a serine/threonine kinase that is the principal intracellular receptor for the signaling molecule cyclic GMP (cGMP)[1][3][4]. Upon binding cGMP, PKG phosphorylates multiple target proteins, regulating vascular smooth muscle tone, heart function, platelet activity, memory formation, apoptosis, ion channel conductance, and gene expression[1][4][6][9]. There are two major PKG isoforms: PKG-I (cytoplasmic) and PKG-II (membrane-associated), each with tissue-specific roles[7][5]. Disorders involving the cGMP-PKG pathway include heart failure, hypertension, erectile dysfunction, cancer, and certain neurodegenerative diseases[2][3][5][6][8]. Therapeutic agents such as PDE5 inhibitors and sGC stimulators, which modulate this pathway, have shown clinical benefit in several conditions[5][2]. The pathway’s complexity and broad therapeutic potential have made PKG a focal point for research in intracellular signaling, pharmacology, and disease modulation.

Other names
Protein kinase GPKGcGMP-dependent protein kinase IPKG-IcGMP-dependent protein kinase IIPKG-II
02

Mechanism of action

Elevation of intracellular cGMP increases PKG activity, resulting in phosphorylation of downstream proteins. PKG activation leads to muscle relaxation, apoptosis induction, inhibition of hypertrophy, modulation of cellular gene expression, and other effects depending on tissue context.

03

Biological functions

Signal transductionRegulation of smooth muscle contractionPlatelet inhibitionPromotion of cell differentiation and apoptosisRegulation of memory formation and long-term potentiationRegulation of ion channel conductanceGene expression modulation
04

Disease associations

Cardiovascular disease (regulates vascular tone, remodeling, and heart failure)Cancer (e.g., head and neck, breast, colon, glioma)Neurodegenerative disease (role in memory and photoreceptor cell death)Inflammation and metabolic syndromeErectile dysfunction (vascular smooth muscle relaxation)
05

Safety considerations

Hypotension due to excessive smooth muscle relaxationOff-target effects due to broad expression of PKG in multiple tissuesPossible pro-tumorigenic effects of PKG-Iα in select cancersTolerance or desensitization with chronic activation/inhibition
06

Interacting drugs

Phosphodiesterase 5 inhibitors (e.g., Sildenafil, Tadalafil)

2 more in the full profile.

07

Biomarkers

cGMP levels in blood/tissuePKG activity or expression levelsExpression of PKG isozymes (PKG-Iα, PKG-Iβ, PKG-II)

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