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Phosphatidylinositol 4,5-bisphosphate 3-kinase, class I (PI3K class I)

Target
PI3K class I
Molecular classification
Enzyme, Kinase, Lipid kinase, Transferase
01

Overview

Phosphatidylinositol 4,5-bisphosphate 3-kinase, class I (PI3K class I) is a family of lipid kinases that function as critical mediators in the PI3K/AKT/mTOR signaling pathway (Guide to Pharmacology, 2025). These enzymes catalyze the phosphorylation of phosphatidylinositol 4,5-bisphosphate (PIP2) to generate the second messenger phosphatidylinositol 3,4,5-trisphosphate (PIP3) at the plasma membrane (UniProt, 2024). Class I PI3Ks consist of four catalytic isoforms—p110α, p110β, p110δ, and p110γ—which are activated by upstream signals from receptor tyrosine kinases and G protein-coupled receptors (NIH, 2023). The production of PIP3 recruits pleckstrin homology (PH) domain-containing proteins, such as AKT and PDK1, to regulate cell growth, survival, proliferation, and metabolism (Wikipedia, 2024). Hyperactivation of this pathway is a hallmark of many human cancers, frequently driven by gain-of-function mutations in the PIK3CA gene or loss of the tumor suppressor PTEN (NIH, 2023). Consequently, PI3K class I has become a major therapeutic target, with several isoform-specific and pan-PI3K inhibitors approved for treating breast cancer and various hematologic malignancies (NIH, 2023). However, the clinical utility of these drugs is often challenged by significant on-target toxicities, including hyperglycemia, gastrointestinal issues, and immune-mediated adverse effects (NIH, 2023).

Other names
PI3-kinase class IPhosphoinositide 3-kinase class IClass I PI3Kp110 alpha/beta/delta/gammaPI3K alpha/beta/delta/gamma
02

Mechanism of action

Inhibition of the catalytic activity of Class I PI3K isoforms (p110α, p110β, p110δ, p110γ), preventing the phosphorylation of phosphatidylinositol 4,5-bisphosphate (PIP2) to phosphatidylinositol 3,4,5-trisphosphate (PIP3), thereby blocking the recruitment of PH-domain containing proteins like AKT and PDK1 and inhibiting the PI3K/AKT/mTOR signaling pathway (NIH, 2023; Guide to Pharmacology, 2025).

03

Biological functions

Signal transductionCell growthCell proliferationCell survivalMetabolismImmune responseAngiogenesisPlatelet aggregationVesicle trafficking
04

Disease associations

Cancer (Breast, Gastric, Ovarian, Colorectal, Prostate, Glioblastoma, Leukemia, Lymphoma)InflammationAutoimmune diseaseType 2 diabetesCardiovascular disease
05

Safety considerations

Hyperglycemia (NIH, 2023)Diarrhea and Colitis (NIH, 2023)Hepatotoxicity (elevated transaminases) (NIH, 2023)Opportunistic infections (e.g., Pneumocystis jirovecii pneumonia) (cancernetwork.com, 2017)Skin rash (NIH, 2023)Pneumonitis (NIH, 2023)Hypertension (cancernetwork.com, 2017)
06

Interacting drugs

Alpelisib

9 more in the full profile.

07

Biomarkers

PIK3CA mutation (NIH, 2023)PTEN loss or mutation (NIH, 2023)PIK3R1 mutation (NIH, 2023)AKT phosphorylation (p-AKT) levels (aacrjournals.org, 2010)PIP3 levels (Wikipedia, 2024)

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