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Phosphoinositide 3-kinase class IA (PI3K class IA) (PI3K class IA)

Target
PI3K class IA
Molecular classification
Enzyme, Lipid kinase, Phosphotransferase, Kinase
01

Overview

Class IA Phosphoinositide 3-kinases (PI3Ks) are essential lipid kinases that function as critical nodes in the intracellular signaling pathways regulating cell growth, proliferation, and metabolism (Fruman et al., 2017, Cell). These enzymes exist as heterodimers, comprising one of three catalytic p110 subunits (alpha, beta, or delta) and a regulatory p85 subunit (Jean & Kiger, 2014, J Cell Sci). They are primarily activated by receptor tyrosine kinases (RTKs) and G protein-coupled receptors, leading to the production of the second messenger phosphatidylinositol 3,4,5-trisphosphate (PIP3) (Vanhaesebroeck et al., 2010, Nat Rev Drug Discov). PIP3 subsequently recruits and activates downstream effectors such as AKT and mTOR, which drive pro-survival and anabolic processes. Mutations in the genes encoding these subunits, particularly PIK3CA, or the loss of the negative regulator PTEN, are frequently observed in various cancers, leading to constitutive pathway activation (Thorpe et al., 2015, Nat Rev Cancer). Consequently, PI3K class IA has become a major therapeutic target, with several isoform-specific and pan-PI3K inhibitors approved for treating breast cancer and hematologic malignancies (FDA, 2019; 2023). Beyond oncology, the delta isoform is a key target for primary immunodeficiencies and inflammatory disorders due to its restricted expression in hematopoietic cells.

Other names
Class IA PI3KPhosphatidylinositol 3-kinase class IAPI3Kalpha/beta/deltap110-p85 complexPI3K class 1A
02

Mechanism of action

Competitive inhibition of the ATP-binding site of the p110 catalytic subunits (alpha, beta, or delta), preventing the phosphorylation of phosphatidylinositol 4,5-bisphosphate (PIP2) into phosphatidylinositol 3,4,5-trisphosphate (PIP3), thereby blocking the recruitment and activation of downstream AKT/mTOR signaling pathways.

03

Biological functions

Signal transductionCell proliferationCell survivalGlucose metabolismVesicular traffickingCytoskeletal rearrangement
04

Disease associations

CancerPrimary immunodeficiencyAutoimmune diseaseType 2 diabetesActivated PI3K delta syndrome (APDS)
05

Safety considerations

HyperglycemiaGastrointestinal toxicity (diarrhea and colitis)Hepatotoxicity (elevated transaminases)Infections (due to immunosuppression)Cutaneous reactions (rash)Pneumonitis
06

Interacting drugs

Alpelisib

8 more in the full profile.

07

Biomarkers

PIK3CA mutation statusPTEN protein expression/lossAKT phosphorylation (p-AKT)PIK3R1 mutationspS6 levels

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