Target intelligence / Profile preview

Phosphoinositide 3-kinase (PI3K)

Target
PI3K
Molecular classification
Enzyme, Kinase, Lipid kinase, Signal transducer
01

Overview

Phosphoinositide 3-kinases (PI3Ks) are a family of lipid kinases that phosphorylate the 3-hydroxyl position of phosphoinositides, principally converting phosphatidylinositol (4,5)-bisphosphate (PI(4,5)P2) into phosphatidylinositol (3,4,5)-trisphosphate (PI(3,4,5)P3)[3][6]. They act as central signal transducers in cellular pathways downstream of a variety of cell-surface receptors, including receptor tyrosine kinases and G protein-coupled receptors[3][4]. PI3Ks play a crucial role in regulating cell growth, proliferation, survival, metabolism, migration, and immune cell function[1][5][8]. Dysfunction or aberrant activation of PI3K, particularly the class I isoforms (including p110α, β, δ, γ), is implicated in cancer, inflammatory disorders, and metabolic diseases[4][8]. The class I PI3Ks are heterodimers with catalytic p110 and regulatory subunits; p85 is typical for class IA and p101/p84 for class IB[4][3][6]. PI3K’s enzymatic reaction products (such as PIP3) serve as second messengers, recruiting and activating downstream proteins containing pleckstrin homology (PH) or similar domains, most notably Akt (protein kinase B)[1][5]. Many isoform-selective PI3K inhibitors have been developed as anticancer and anti-inflammatory therapeutics, especially for malignancies harboring activating mutations in PIK3CA (encoding p110α)[8]. Approved drugs include idelalisib, copanlisib, duvelisib, and alpelisib, with adverse effects largely resulting from on-target inhibition in normal tissues (notably metabolic and immune cells), leading to risks such as hyperglycemia and immunosuppression.

Other names
phosphatidylinositol 3-kinasePI 3-kinasePI3 kinasePI3Ksphosphoinositide-3-kinase
02

Mechanism of action

Inhibition of lipid kinase activity (preventing formation of PIP3), downstream blockade of Akt/PKB signaling, suppression of cell survival, proliferation, migration, and metabolism

03

Biological functions

Signal transductionCell proliferationCell survivalCell adhesionCytoskeletal rearrangementVesicle traffickingApoptosisImmune responseMetabolic control
04

Disease associations

CancerInflammationImmunodeficiencyCardiovascular diseaseMetabolic disease (diabetes)Autoimmune disorders
05

Safety considerations

Hyperglycemiaimmunosuppression (increased infection risk)hepatotoxicitycolitispneumonitisincreased risk of secondary malignanciesrashgastrointestinal toxicity
06

Interacting drugs

idelalisib

9 more in the full profile.

07

Biomarkers

PIK3CA mutation (especially for p110α isoform)phosphorylated Akt (p-Akt)PTEN lossPIP3 levels

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