Target intelligence / Profile preview

p21-activated kinase (PAK)

Target
PAK
Molecular classification
Enzyme (protein kinase: serine/threonine kinase), Signal transduction effector (specifically downstream of Rho Family GTPases, e.g., Cdc42 and Rac1), STE20 family of protein kinases
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Overview

p21-activated kinases (PAKs) are a family of serine/threonine protein kinases acting as key effectors of the small GTPases Cdc42 and Rac1. Mammals express six isoforms (PAK1-PAK6), divided into two groups (I and II) based on structural motifs and regulatory mechanisms. PAKs orchestrate diverse cellular processes, including cytoskeleton remodeling, cell proliferation, cell survival, apoptosis, and signal transduction. PAK dysregulation contributes to diseases such as cancer, cardiovascular and neurological disorders. Group I PAKs (PAK1, PAK2, PAK3) feature a shared regulatory N-terminal domain and a kinase C-terminal domain; they are activated by direct interaction with GTP-bound forms of Cdc42/Rac1, which relieves autoinhibition. PAK family proteins have garnered significant interest as therapeutic targets, particularly in oncology and neuroscience, although drug development faces challenges due to isoform redundancy and fundamental physiological roles.

Other names
PAK (generic abbreviation for family)p21-activated kinases (plural for family)PAK1, PAK2, PAK3, PAK4, PAK5, PAK6 (isoforms)STE20 (family association; sometimes used in yeast)
02

Mechanism of action

Inhibition of PAK enzymatic activity (ATP-competitive or allosteric inhibitors) - Modulation/disruption of PAK scaffolding and downstream signaling (e.g., cytoskeletal reorganization, apoptotic signals) - Indirect modulation via upstream effectors (e.g., Cdc42, Rac1 GTPases).

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Biological functions

Signal transductionCytoskeletal remodeling/motilityCell cycle regulationApoptosisCell proliferationSynaptic plasticity and neuronal development (especially for PAK1 and PAK3)Cell survival
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Disease associations

Cancer (especially breast, prostate, and pancreatic; PAK1 and PAK4 most studied)Cardiovascular diseaseNeurological disorders (including intellectual disability and Alzheimer's disease)Other developmental disorders
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Safety considerations

Isoform specificity: off-target effects if inhibitors are not selective between PAK isoformsEssential roles in normal tissue/cell function: mechanism-based toxicity, e.g., embryonic lethality in PAK2/PAK4 knockout miceRedundancy among family members may complicate efficacy and safety profiles
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Interacting drugs

FTY720 (Fingolimod modulates Pak1-PP2A scaffolding; primarily repurposed immunomodulator)

1 more in the full profile.

07

Biomarkers

Expression levels of PAK1 or PAK4 in tumor tissue have been explored as prognostic or predictive biomarkers in cancerIncreased PAK phosphorylation/activity in certain neurological and cardiovascular diseases

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