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