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Phosphatidylinositol-3-phosphate 5-kinase type III (PIKfyve)

Target
PIKfyve
Molecular classification
Enzyme, Lipid kinase
01

Overview

Phosphatidylinositol‑3‑phosphate 5‑kinase type III (PIKfyve) is a large multi-domain enzyme encoded by the *PIKFYVE* gene. It catalyzes the phosphorylation of phosphatidylinositol‑3‑phosphate to generate phosphatidylinositol-(3,5)-bisphosphate [PtdIns(3,5)P₂], as well as producing phosphatidylinositol 5-phosphate [PtdIns5P]. These lipids are critical regulators of membrane trafficking events within the endosomal system. The FYVE finger domain targets the protein to endosomes. Loss or inhibition of PIKfyve disrupts lysosome fission/homostasis and leads to cytoplasmic vacuolation due to defective vesicle dynamics. Biologically, it is essential for processes such as cell migration/polarization through integrin recycling pathways, platelet granule biogenesis in megakaryocytes, Th17 T-cell differentiation via mTORC1/STAT3 activation (implicating it in autoimmunity), insulin-regulated glucose uptake in muscle tissue (linking it with metabolic disease), viral entry by endocytosis (Ebola/SARS-CoV‑2), and tumor progression/autophagy dependence in certain cancers. Mutations cause corneal fleck dystrophy; pharmacological inhibitors like apilimod are under investigation for cancer immunotherapy due to their ability to enhance anti-tumor immunity by increasing MHC-I surface expression on tumor cells.

Other names
PIKFYVEFYV1PIPKIII1-phosphatidylinositol 3-phosphate 5-kinase
02

Mechanism of action

Inhibition of lipid kinase activity impairs endosomal trafficking, lysosome fission/homostasis, autophagy; upregulates MHC-I surface expression in cancer cells; modulates immune response by affecting Th17 differentiation and mTORC1/STAT3 pathways.

03

Biological functions

Endomembrane homeostasis and vesicular traffickingSynthesis of phosphoinositides (PtdIns(3,5)P2 and PtdIns5P)Regulation of cell migration and polarizationTh17 cell differentiation via mTORC1/STAT3 signaling
04

Disease associations

Cancer (including non-Hodgkin lymphoma, glioblastoma, melanoma)Autoimmune disease (Th17-driven diseases such as multiple sclerosis)Corneal fleck dystrophyType 2 diabetes/metabolic syndrome
05

Safety considerations

Potential for impaired lysosomal function leading to cytoplasmic vacuolation or endomembrane defects with inhibitionPossible impact on glucose metabolism and immune function
06

Interacting drugs

Apilimod (PIKfyve inhibitor)
07

Biomarkers

High pre-treatment PIKFYVE expression predicts poor response to immune checkpoint blockade therapy in cancer patients.

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