Target intelligence / Profile preview

Phosphatidylinositol 4-kinase alpha (PI4KA) (PI4KA)

Target
PI4KA
Molecular classification
Enzyme, Lipid kinase, Type III PI4K subfamily, PI3/PI4-kinase family
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Overview

Phosphatidylinositol 4-kinase alpha (PI4KA) is a type III lipid kinase that catalyzes the phosphorylation of phosphatidylinositol to produce phosphatidylinositol 4-phosphate (PI4P), primarily at the plasma membrane (UniProt P42356). It functions as part of a heterotetrameric complex with EFR3, TTC7, and FAM126, which is essential for maintaining the phosphoinositide pools required for signal transduction and membrane trafficking (PubMed: 23229899). PI4KA is a critical host factor for the replication of the hepatitis C virus (HCV), as it is recruited by the viral protein NS5A to create the "membranous web" necessary for viral assembly (PubMed: 21238945). In oncology, PI4KA is often overexpressed and promotes tumor progression, particularly in hepatocellular and pancreatic cancers, by modulating cytoskeleton organization and survival pathways like PI3K/Akt (PubMed: 37979461). Small molecule inhibitors such as AL-9 and GSK-A1 have been developed to target PI4KA for antiviral and anticancer applications, but their clinical advancement has been hindered by significant safety concerns (PubMed: 24417819). Systemic depletion of PI4P through pharmacological inhibition can lead to lethal gastrointestinal and cardiovascular toxicities, while biallelic loss-of-function mutations in humans cause severe neurodevelopmental and immunological disorders (PubMed: 33151155).

Other names
PI4KIIIaPIK4CAPI4K-ALPHApi4K230PMGYCHASPG84GIDID2hPI4KA
02

Mechanism of action

Inhibition of the catalytic activity of PI4KA, leading to depletion of phosphatidylinositol 4-phosphate (PI4P) and phosphatidylinositol 4,5-bisphosphate (PIP2) pools at the plasma membrane, which disrupts the formation of the hepatitis C virus (HCV) membranous web and inhibits oncogenic signaling pathways such as KRAS and Akt2.

03

Biological functions

Phosphatidylinositol 4-phosphate synthesisPlasma membrane phosphoinositide maintenanceSignal transductionViral RNA genome replicationB cell differentiationCytoskeleton organizationEndoplasmic reticulum-to-Golgi trafficking
04

Disease associations

Hepatitis CHepatocellular carcinomaNeurodevelopmental disorder with spasticity, hypomyelinating leukodystrophy, and brain abnormalitiesGastrointestinal defects and immunodeficiency syndrome 2Spastic paraplegia 84SchizophreniaPancreatic cancerLeukemia
05

Safety considerations

Sudden death (cardiovascular toxicity)Severe intestinal necrosisMucosal epithelial degenerationNeurodevelopmental impairmentImmunodeficiency
06

Interacting drugs

AL-9

4 more in the full profile.

07

Biomarkers

Phosphatidylinositol 4-phosphate (PI4P) levelsPI4KA protein expressionPI4KA gene variants

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