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Phosphatidylinositol 3-kinase alpha, beta, gamma, or delta (PI3Kα, PI3Kβ, PI3Kγ, PI3Kδ)

Target
PI3Kα, PI3Kβ, PI3Kγ, PI3Kδ
Molecular classification
Enzyme, Kinase, Lipid kinase
01

Overview

Phosphatidylinositol 3-kinase (PI3K) is a family of lipid kinases that phosphorylate the 3' hydroxyl group of the inositol ring of phosphoinositides, generating important second messengers for intracellular signal transduction. Class I PI3Ks include four catalytic subunit isoforms in humans: alpha (PIK3CA), beta (PIK3CB), gamma (PIK3CG), and delta (PIK3CD). Each of these enzymes partners with distinct regulatory subunits and exhibits distinct tissue-specific expression and biological functions: PI3Kα and PI3Kβ are widely expressed, whereas PI3Kγ and PI3Kδ are predominantly found in leukocytes[1][2][3][6][7]. They are central regulators of the PI3K/AKT/mTOR pathway, influencing cell proliferation, growth, survival, and metabolism. Genetic mutations and/or aberrant activation of PI3K, especially PI3Kα, are common drivers in many cancers. The isoforms are considered important therapeutic targets, and multiple PI3K isoform-selective inhibitors have been developed and approved for oncology and immunology indications, though their clinical use is complicated by significant toxicity[1][3][4][5].

Other names
PI3KClass I PI3Kp110α (alpha)p110β (beta)p110γ (gamma)p110δ (delta)Phosphoinositide 3-kinase
02

Mechanism of action

Inhibition of PI3K activity (block phosphorylation of phosphoinositides, thereby blocking signal transduction through the PI3K/AKT/mTOR pathway)

03

Biological functions

Signal transductionCell growthCell proliferationCell survivalImmune response (especially PI3Kγ and PI3Kδ)Cell metabolism
04

Disease associations

CancerInflammationImmunological diseasesCardiovascular disease
05

Safety considerations

Immune suppression (increased risk of infections)Hyperglycemia (especially with PI3Kα inhibitors)Colitis, diarrhea (especially with PI3Kδ inhibitors)Severe side effects may limit clinical use; mostly used when other treatments have failed
06

Interacting drugs

Idelalisib (PI3Kδ inhibitor)

5 more in the full profile.

07

Biomarkers

PIK3CA mutation status (for selection of PI3Kα inhibitors)PTEN loss (can influence response to PI3Kβ inhibition)

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