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Phosphatidylinositol 3-kinase catalytic subunit alpha isoform (PI3K-alpha (p110α))

Target
PI3K-alpha (p110α)
Molecular classification
Enzyme, Intracellular signal transducer, Protein kinase (specifically lipid kinase, serine/threonine protein kinase)
01

Overview

Phosphatidylinositol 3-kinase catalytic subunit alpha isoform (PI3K-alpha, p110α) is the catalytic component of class IA PI3K enzymes, produced by the PIK3CA gene. This lipid kinase phosphorylates phosphatidylinositol-4,5-bisphosphate (PIP2) to generate phosphatidylinositol-3,4,5-trisphosphate (PIP3), initiating intracellular signaling cascades crucial for cell growth, proliferation, survival, metabolism, and migration. PI3K-alpha activity is tightly regulated, and its dysregulation via activating mutations is strongly implicated in the pathogenesis of many cancers and metabolic diseases. Selective pharmaceutical inhibition of PI3K-alpha is an approved strategy in precision oncology, especially in cancers harboring activating PIK3CA mutations. Key challenges in targeting PI3K-alpha include metabolic toxicities and resistance mechanisms.

Other names
PI3K-alphap110-alphaphosphoinositide-3-kinase catalytic alpha polypeptidephosphatidylinositol 3-kinase, catalytic, 110-KD, alphaphosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha isoformPK3CA_HUMANptdIns-3-kinase subunit p110-alphaserine/threonine protein kinase PIK3CA
02

Mechanism of action

Inhibition of PI3K-alpha reduces phosphorylation of signaling lipids (PIP2 to PIP3), thereby decreasing AKT activation, ultimately suppressing cell growth, survival, and metabolism, especially in cancers with PIK3CA mutations. Reduction of downstream mTOR signaling, glycolysis, and anabolic metabolism.

03

Biological functions

Signal transductionCell growthCell proliferationCell survivalMetabolism (regulation of glucose, lipid synthesis)Cell migration/motilityAngiogenesis
04

Disease associations

Cancer (e.g., breast, colorectal, other solid tumors)Metabolic disorders (e.g., insulin resistance, diabetes)SHORT syndromeInflammation
05

Safety considerations

Hyperglycemia (mechanism-related, due to interference with insulin signaling)Rash and diarrheaPossible increased risk of infections, due to impact on immune cell signalingPotential for off-target toxicity (affecting non-tumor tissues, e.g., metabolic syndrome, electrolyte disturbances)
06

Interacting drugs

Alpelisib (PI3K-alpha selective inhibitor)

4 more in the full profile.

07

Biomarkers

PIK3CA mutation status (predictive marker for drug response to PI3K-alpha inhibitors in cancer)Phosphorylated AKTDownstream gene expression changes (e.g., mTOR targets)

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