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Phosphatidylinositol 4,5-bisphosphate 3-kinase alpha (PI3Kα)

Target
PI3Kα
Molecular classification
Enzyme, Lipid kinase, Signal transduction enzyme, Class I phosphoinositide 3-kinase
01

Overview

Phosphatidylinositol 4,5-bisphosphate 3-kinase alpha, commonly abbreviated as **PI3Kα**, is a catalytic subunit of class I phosphoinositide 3-kinases—a family of lipid kinases that phosphorylate the 3′-OH group of the inositol ring of phosphoinositides, generating phosphatidylinositol 3,4,5-trisphosphate[1][3]. PI3Kα plays a critical role in cellular signaling pathways that control proliferation, survival, metabolism, and migration[1][3][4]. The enzyme is a heterodimer composed of a p110α catalytic subunit (PIK3CA gene) and a regulatory subunit (p85 type), and is predominantly activated downstream of receptor tyrosine kinases[3]. Aberrant activation, often through **PIK3CA mutations**, is strongly implicated in a variety of cancers and other diseases[3][4]. Multiple selective inhibitors have been developed and approved for clinical use, primarily in oncology[4]. PI3Kα's involvement in diverse signaling cascades and its role as a driver of tumorigenesis make it a major therapeutic target, with inhibitors currently in clinical and preclinical development[4].

Other names
Phosphoinositide 3-kinase alphaPI3K alphaPI3Kαp110αClass I PI3K alpha isoformPIK3CA (gene symbol)
02

Mechanism of action

Small-molecule inhibitors block the kinase activity, preventing phosphorylation of phosphatidylinositol substrates and downstream activation of AKT and other effectors[4]. Allosteric inhibition by binding outside the ATP site (varies by inhibitor).

03

Biological functions

Signal transductionCell proliferationCell growthSurvival and apoptosis regulationMetabolismCell migration
04

Disease associations

CancerImmunodeficiencyDiabetesNeurological diseaseCardiovascular disease
05

Safety considerations

Hyperglycemia/insulin resistanceOpportunistic infectionsImmune system suppressionRash and dermatologic toxicityDiarrhea and colitisIncreased risk of secondary malignancy
06

Interacting drugs

Alpelisib

5 more in the full profile.

07

Biomarkers

PIK3CA mutations (including H1047R, E545K, E542K)[3]PI3K pathway activation status in tumors

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