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Phosphoinositide 3-kinase gamma catalytic subunit (PI3Kγ)

Target
PI3Kγ
Molecular classification
Enzyme, Kinase, Lipid kinase, Class I phosphoinositide 3-kinase (specifically Class IB)
01

Overview

Phosphoinositide 3-kinase gamma catalytic subunit (PI3Kγ, encoded by the PIK3CG gene) is the enzymatic subunit of the Class IB PI3Kγ complex, which is a lipid kinase predominantly expressed in leukocytes[1][4][7]. PI3Kγ catalyzes the phosphorylation of phosphatidylinositol 4,5-bisphosphate (PIP2) to produce the second messenger phosphatidylinositol 3,4,5-trisphosphate (PIP3), a key mediator in cellular signaling pathways regulating immune cell migration, chemotaxis, inflammatory responses, and cellular metabolic processes[3][4][7]. The enzyme is activated downstream of G protein-coupled receptors, via association with one of two regulatory subunits (p101 or p84), and is a critical regulator of immune cell function and inflammatory signaling[2][7]. Dysregulation or overactivation of PI3Kγ is implicated in numerous pathologies, including cancer (especially in the tumor microenvironment), cardiovascular disease, and a broad range of inflammatory and respiratory disorders[4][7][6][1]. Selective inhibition of PI3Kγ is a promising therapeutic strategy for conditions with pathologic myeloid immune cell activity, such as cancer and chronic inflammatory diseases[7][4][1]. Note: Only Eganelisib is a selective, clinical PI3Kγ inhibitor[7][4][1].

Other names
PI3K-gammaPI3Kγp110γphosphatidylinositol 4,5-bisphosphate 3-kinase catalytic subunit gammaPIK3CG
02

Mechanism of action

Competitive inhibition of ATP binding site (for most small molecule inhibitors). Suppression of PI3Kγ kinase activity, blocking the conversion of phosphatidylinositol 4,5-bisphosphate (PIP2) to phosphatidylinositol 3,4,5-trisphosphate (PIP3), inhibiting downstream AKT/mTOR signaling[3][1][6]. Immunomodulation, particularly reducing myeloid cell-driven immune suppression in the tumor microenvironment[7].

03

Biological functions

Signal transductionCell migration/chemotaxisImmune response and inflammationRegulation of metabolismCell proliferationRegulation of actin cytoskeleton
04

Disease associations

InflammationCancerCardiovascular diseaseAutoimmune diseaseRespiratory diseases (e.g., asthma, pulmonary fibrosis, cystic fibrosis)Infection
05

Safety considerations

Immunosuppression and increased infection risk (risk depends on degree of inhibition; compared to PI3Kδ, PI3Kγ inhibition is considered to have lower risk, but significant in theory)Off-target effects on other PI3K isoforms (if not selective)[6]Potential cardiovascular effects (role in cardiac homeostasis[1][4])Possible exacerbation of some autoimmune conditions
06

Interacting drugs

IPI-549 (Eganelisib)

4 more in the full profile.

07

Biomarkers

PI3Kγ expression (gene: PIK3CG) in myeloid-derived suppressor cells/macrophages (for immunotherapy response prediction[7])PIP3 production (as a pharmacodynamic biomarker, mostly in research)Phosphorylated AKT/PKB (downstream readout)No widely used clinical biomarkers for patient selection as of 2024

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