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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].
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].
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