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Phosphatidylinositol 3-kinase catalytic subunit delta isoform and Casein kinase 1 epsilon (PI3Kδ and CK1ε)

Target
PI3Kδ and CK1ε
Molecular classification
Enzyme, Lipid kinase (class I PI3K family, catalytic subunit), Serine/threonine kinase (CK1 family)
01

Overview

Phosphatidylinositol 3-kinase catalytic subunit delta isoform (PI3Kδ) is a lipid kinase primarily expressed in leukocytes, playing a central role in immune cell signal transduction, growth, and survival. Aberrant PI3Kδ activity contributes to cancer progression and immune disorders, making it a validated drug target for hematological malignancies and select autoimmune diseases. Casein kinase 1 epsilon (CK1ε) is a serine/threonine protein kinase involved in regulating various cellular processes, including circadian rhythm, Wnt signaling, and immune modulation. Certain drugs, like umbralisib, target both PI3Kδ and CK1ε to provide antitumor and immunomodulatory effects, with CK1ε inhibition improving regulatory T cell function and reducing immune toxicity seen with more selective PI3Kδ inhibitors. Both kinases are considered important targets for cancer and immunology therapeutics.

Other names
PI3K-deltap110δPIK3CDCKIεCSNK1ECasein kinase I epsilon
02

Mechanism of action

PI3Kδ inhibitors block ATP-binding, preventing PI3K-mediated signal transduction, particularly affecting lymphocyte survival and proliferation. CK1ε inhibitors prevent phosphorylation of protein substrates involved in signaling pathways, altering cell cycle regulation and immune modulation. Dual inhibition (umbralisib) targets both signaling pathways—PI3Kδ for immune cell suppression and CK1ε for improved T regulatory cell function, offering reduced immune-mediated toxicity.

03

Biological functions

Signal transductionImmune responseCell proliferationCell survivalPhosphorylation of proteins involved in circadian rhythm, Wnt signaling, and cell cycleRegulation of signal transduction and substrate phosphorylation
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Disease associations

Cancer (especially hematological malignancies like CLL)InflammationImmune disordersNeurodegenerative diseaseCircadian rhythm disordersPotential involvement in immune-related disease
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Safety considerations

PI3Kδ inhibitors: Immune-mediated adverse events (colitis, pneumonitis, hepatitis), infections, potential cardiac toxicityDual inhibition (umbralasib): Improved safety over selective PI3Kδ inhibitors due to CK1ε-mediated preservation of regulatory T cells, but long-term effects are still under investigation
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Interacting drugs

Idelalisib

5 more in the full profile.

07

Biomarkers

PI3K pathway mutations (e.g., PIK3CD)Phosphorylation status of downstream PI3K targets (e.g., AKT)FoxP3+ regulatory T cell measurement in clinical trials (umbralasib-focused studies)

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