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Phosphatidylinositol 4,5-bisphosphate 3-kinase catalytic subunit alpha (PI3Kα), RAS-binding domain (RBD) (PI3Kα RBD)

Target
PI3Kα RBD
Molecular classification
Enzyme, Protein-protein interaction domain, Kinase (catalytic subunit domain)
01

Overview

The RAS-binding domain (RBD) of Phosphatidylinositol 4,5-bisphosphate 3-kinase catalytic subunit alpha (PI3Kα) is a specialized structural motif within the p110α protein, encoded by the PIK3CA gene, that mediates essential protein-protein interactions with activated RAS GTPases (UniProt: P42336). This interaction serves as a critical regulatory mechanism, allowing RAS to recruit PI3Kα to the plasma membrane where it converts phosphatidylinositol 4,5-bisphosphate (PIP2) into phosphatidylinositol 3,4,5-trisphosphate (PIP3), thereby triggering the AKT/mTOR signaling cascade (PubMed: 27058662). PI3Kα is one of the most frequently mutated oncogenes in human cancers, particularly in breast, endometrial, and colorectal malignancies, where it drives uncontrolled cell growth and survival (PubMed: 30545854). While most clinical inhibitors like alpelisib target the ATP-binding pocket of the kinase domain, the RBD is a significant focal point for research into disrupting RAS-effector interactions, which is particularly relevant in RAS-mutant cancers. Therapeutic targeting of PI3Kα is highly effective but is frequently associated with metabolic side effects, most notably hyperglycemia, because PI3Kα is a primary mediator of the cellular response to insulin (PubMed: 31091374). Consequently, managing glucose levels is a primary clinical challenge when utilizing drugs that affect this target.

Other names
p110α RAS-binding domainPIK3CA RBDPhosphoinositide 3-kinase alpha RBDp110-alpha RBDPhosphatidylinositol 3-kinase catalytic subunit alpha RBD
02

Mechanism of action

Inhibition of the catalytic activity of the p110α subunit or disruption of the physical interaction between activated RAS GTPases and the PI3Kα RAS-binding domain to prevent the recruitment of PI3K to the plasma membrane and subsequent AKT pathway activation (PubMed: 27058662, PubMed: 30545854).

03

Biological functions

Signal transductionCell proliferationCell survivalGlucose metabolismIntracellular protein transport
04

Disease associations

CancerPIK3CA-related overgrowth spectrum (PROS)CLOVES syndromeVascular malformations
05

Safety considerations

HyperglycemiaGastrointestinal toxicity (diarrhea, nausea)RashStomatitisFatiguePotential for off-target inhibition of other PI3K isoforms
06

Interacting drugs

Alpelisib

4 more in the full profile.

07

Biomarkers

PIK3CA mutation statusKRAS mutation statusPTEN lossBlood glucose levelsC-peptide levels

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