ITPKB is essential for mature T cell survival and calcium signaling. Genetic deletion or pharmacological inhibition (e.g., GNF362) elevates intracellular calcium, inducing apoptosis via FasL and Bim upregulation. This mechanism blocks T-cell-dependent antibody responses and mitigates autoimmune arthritis in preclinical models .
ITPKB protects against α-synuclein aggregation in Parkinson’s disease (PD). Knockdown or inhibition increases mitochondrial calcium, impairing autophagy and exacerbating α-synuclein pathology. Restoring ITPKB activity reduces ER-to-mitochondria calcium flux, highlighting its therapeutic potential .
In glioblastoma (GBM), ITPKB stabilizes reactive oxygen species (ROS) homeostasis, conferring temozolomide (TMZ) resistance. Suppressing ITPKB via genetic knockout or GNF362 enhances TMZ sensitivity by increasing ROS and apoptosis. Trim25-mediated ITPKB ubiquitination regulates this process, making ITPKB a target for overcoming chemoresistance .
Calcium Signaling: ITPKB-generated IP₄ inhibits Orai1/Stim1 calcium channels, preventing excessive Ca²⁺ influx and apoptosis .
Disease Modulation:
The ITPKB inhibitor GNF362 has shown efficacy in preclinical models: