Target intelligence / Profile preview

Phosphoinositide 3-kinase (PI3K) (PI3K)

Target
PI3K
Molecular classification
Enzyme, Kinase, Lipid kinase, Transferase
01

Overview

Phosphoinositide 3-kinases (PI3Ks) are a family of intracellular lipid kinases that orchestrate a wide array of cellular functions, including growth, proliferation, differentiation, motility, and survival [1]. These enzymes are categorized into three classes (I, II, and III) based on their structure and substrate specificity, with Class I being the most extensively studied in human disease [2]. PI3Ks function by phosphorylating the 3-hydroxyl group of the inositol ring in phosphoinositides, generating second messengers like phosphatidylinositol 3,4,5-trisphosphate (PIP3) [3]. This process triggers the recruitment and activation of downstream effectors, most notably the AKT/mTOR signaling axis [4]. Hyperactivation of the PI3K pathway is a hallmark of many human cancers, often driven by gain-of-function mutations in the PIK3CA gene or loss of the PTEN phosphatase [5]. Therapeutic strategies targeting the PI3K family include pan-PI3K inhibitors and isoform-specific inhibitors, several of which are approved for treating breast cancer and hematologic malignancies [6]. Despite their clinical utility, PI3K inhibitors are associated with significant side effects, such as hyperglycemia and immune-mediated toxicities, which necessitate careful patient monitoring [7]. References: [1] Cantley LC (2002) Science 296:1655. [2] Vanhaesebroeck B, et al. (2010) Nat Rev Mol Cell Biol 11:329. [3] Fruman DA, et al. (2017) Cell 170:605. [4] Manning BD, Toker A (2017) Cell 169:381. [5] Samuels Y, et al. (2004) Science 304:554. [6] Janku F, et al. (2018) Nat Rev Clin Oncol 15:273. [7] Esposito A, et al. (2019) Biol Targets Ther 13:131.

Other names
Phosphatidylinositol 3-kinasePI 3-kinasePI3-kinasePhosphatidylinositol-4,5-bisphosphate 3-kinasePtdIns 3-kinase
02

Mechanism of action

Inhibition of the ATP-binding site of PI3K catalytic subunits, preventing the conversion of phosphatidylinositol 4,5-bisphosphate (PIP2) to phosphatidylinositol 3,4,5-trisphosphate (PIP3) and subsequent activation of the AKT/mTOR signaling pathway [3, 6].

03

Biological functions

Signal transductionCell proliferationCell survivalMetabolismCell growthApoptosis regulationIntracellular traffickingImmune response
04

Disease associations

CancerInflammationAutoimmune diseaseDiabetesCardiovascular diseaseImmunodeficiency
05

Safety considerations

HyperglycemiaGastrointestinal toxicity (diarrhea, colitis)HepatotoxicityPneumonitisInfection riskRashNeutropenia
06

Interacting drugs

Alpelisib

12 more in the full profile.

07

Biomarkers

PIK3CA mutationPTEN lossAKT phosphorylationPIK3R1 mutationPIP3 levelsFOXO1 localization

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