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Glycogen synthase kinase 3 (GSK-3) (GSK-3 (commonly used); also referred to as GSK3 or GSK3α/GSK3β for its isozymes[1][2][4][7])

Target
GSK-3 (commonly used); also referred to as GSK3 or GSK3α/GSK3β for its isozymes[1][2][4][7]
Molecular classification
Enzyme (protein kinase; EC 2.7.11.26), Serine/threonine kinase, Member of CMGC kinase group (includes Cyclin-dependent kinases, MAP kinases, GSKs, CDK-like kinases)[4]
01

Overview

Glycogen synthase kinase 3 (GSK-3) is a serine/threonine protein kinase originally named for its ability to phosphorylate and inhibit glycogen synthase. It exists as two closely related isoforms in mammals, GSK-3α and GSK-3β, which are encoded by separate genes and have both overlapping and distinct roles. GSK-3 is a pivotal regulator in diverse signaling networks including insulin, Wnt, and neurotrophic pathways. It directly phosphorylates more than 100 different substrates, notably the microtubule-associated protein tau, a link central to the pathogenesis of Alzheimer’s disease and related tauopathies. Dysregulation of GSK-3 is implicated in numerous disorders ranging from metabolic diseases to neurodegeneration and psychiatric illness. GSK-3 has therefore been pursued as a drug target, with both clinical and preclinical inhibitors identified, though therapeutic development is complicated by the enzyme’s ubiquitous expression and pleiotropic functions[1][3][4][6][7].

Other names
GSK-3GSK-3α (glycogen synthase kinase 3 alpha)GSK-3β (glycogen synthase kinase 3 beta)Tau protein kinase I (older term, specifically for GSK-3β in the context of tau phosphorylation)[7]Serine/threonine-protein kinase GSK-3
02

Mechanism of action

Inhibitors block GSK-3’s kinase activity, often by competing for ATP binding or by allosteric modulation, leading to reduced phosphorylation of physiological substrates, especially tau and glycogen synthase[6]. For lithium, inhibition is via competition for magnesium at the active site[1].

03

Biological functions

Glycogen metabolismPhosphorylation of tau proteinCell signaling (notably in insulin and Wnt pathways)Cell proliferationApoptosis (programmed cell death)Cellular transportNeuronal development and fate specificationRegulation of transcription factors and epigenetic modification[1][4][5][6]
04

Disease associations

Type 2 diabetesAlzheimer’s disease (and other tauopathies)CancerBipolar disorderInflammationOther neurodegenerative diseases[1][3][6]
05

Safety considerations

Broad inhibition may cause side effects due to GSK-3’s role in multiple pathways (e.g., impaired cell proliferation, risk of affecting stem cells, altered gene expression)[1][6].Risk of hypoglycemia with potent inhibitors (relevant in diabetes therapy)Potential for neuropsychiatric side effects (noted with lithium)Concern about tumorigenicity with chronic, broad-acting GSK-3 inhibition, given its anti-proliferative role in some settings[1][6].
06

Interacting drugs

Lithium (classical inhibitor, used in bipolar disorder treatment)

5 more in the full profile.

07

Biomarkers

Phosphorylation status of GSK-3 substrates (e.g., tau phosphorylation at specific epitopes)GSK-3β activity levels in biological samplesGlycogen synthase activityInsulin signaling markers in metabolic studies[1][3][6]

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