Chemical inhibitors of PEF can interfere with its activity through various mechanisms, primarily by targeting the kinases that phosphorylate PEF or the signaling pathways that regulate its function. Staurosporine is a broad-spectrum kinase inhibitor that can inhibit the activity of kinases responsible for the phosphorylation of PEF, thus preventing its activation. Similarly, Bisindolylmaleimide I specifically inhibits protein kinase C, which is known to phosphorylate a wide array of proteins, including PEF. Consequently, the inhibition of PKC results in a decrease in PEF activity. LY294002 and Wortmannin are both inhibitors of PI3K, a kinase that activates the Akt signaling pathway, which may be responsible for the phosphorylation and subsequent activation of PEF. Therefore, by inhibiting PI3K, these chemicals lead to a reduction in PEF activity by preventing its phosphorylation. SB203580 targets p38 MAPK, and by impeding this kinase, it inhibits the MAPK pathway signaling, reducing the downstream effects on PEF activity.
Furthermore, PD98059 and U0126 are selective inhibitors of MEK, which operates upstream of the MAPK/ERK pathway. By inhibiting MEK, these chemicals impede the MAPK/ERK pathway, leading to a downstream reduction in PEF activity. SP600125 inhibits JNK, which is part of the MAPK pathway as well, and its inhibition also results in decreased PEF activity. In the realm of tyrosine kinase inhibitors, Lapatinib and Erlotinib inhibit the EGFR and HER2/neu, which are upstream of various signaling pathways that can lead to PEF activation. Therefore, the inhibition of these receptors by Lapatinib and Erlotinib results in diminished PEF activity. Sorafenib, a multi-kinase inhibitor, targets RAF kinases within the MAPK pathway. By inhibiting RAF, Sorafenib reduces signaling through MAPK, which translates into decreased PEF activity. Lastly, Sunitinib, as a receptor tyrosine kinase inhibitor, can also reduce PEF activity by inhibiting various receptors that are part of the signaling pathways contributing to PEF activation.
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