Eukaryotic elongation factor 2 kinase as a drug target in cancer, and in cardiovascular and neurodegenerative diseases
Open accessAbstract
Eukaryotic elongation factor 2 kinase (eEF2K) is an unusual protein kinase that regulates the elongation stage of protein synthesis by phosphorylating and inhibiting its only known substrate, eEF2. Elongation is a highly energy-consuming process, and eEF2K activity is tightly regulated by several signaling pathways. Regulating translation elongation can modulate the cellular energy demand and may also control the expression of specific proteins. Growing evidence links eEF2K to a range of human diseases, including cardiovascular conditions (atherosclerosis, via macrophage survival) and pulmonary arterial hypertension, as well as solid tumors, where eEF2K appears to play contrasting roles depending on tumor type and stage. eEF2K is also involved in neurological disorders and may be a valuable target in treating depression and certain neurodegenerative diseases. Because eEF2K is not required for mammalian development or cell viability, inhibiting its function may not elicit serious side effects, while the fact that it is an atypical kinase and quite distinct from the vast majority of other mammalian kinases suggests the possibility to develop it into compounds that inhibit eEF2K without affecting other important protein kinases. Further research is needed to explore these possibilities and there is an urgent need to identify and characterize potent and specific small-molecule inhibitors of eEF2K. In this article we review the recent evidence concerning the role of eEF2K in human diseases as well as the progress in developing small-molecule inhibitors of this enzyme.
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eEF2K signaling intersects with excitation-inhibition balance and circuit-level plasticity, suggesting strong synergy with circuit-specific interventions.
“eEF2K signaling intersects with excitation inhibition balance and circuit level plasticity, suggesting strong synergy with circuit specific interventions [159,160,164].”
From Synaptic Plasticity—Intrinsic Excitability and Antidepressant Discovery (2026) · cites this paper as [160]
The “Neurological roles of eEF2K” section links eEF2K to synaptic plasticity, altered brain activation in mutant mice, and a neuronal response to a GABA-receptor antagonist (page unavailable in our copy). It does not establish an effect on excitation–inhibition balance or discuss synergy with circuit-specific interventions; the latter appears to be the citing authors’ inference. (LLM, conf=0.84)
Experimental — accuracy not yet measuredAll available eEF2K compounds remain experimental, with unresolved issues in kinase selectivity, brain exposure, and chronic tolerability.
“Despite consistent neuroprotective- and plasticity-enhancing effects across preclinical disease models, all available compounds remain experimental, with unresolved issues in kinase selectivity, brain exposure, and chronic tolerability [159,160,161].”
From Synaptic Plasticity—Intrinsic Excitability and Antidepressant Discovery (2026) · cites this paper as [160]
The “Inhibitors of eEF2K” section describes selectivity and cellular-effectiveness problems, and the Conclusion calls for better inhibitors for preclinical studies. These passages support the compounds’ experimental status, but our copy does not assess brain exposure or chronic tolerability. Page numbers were not supplied. (LLM, conf=0.86)
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“Inhibition of mTORC1 will also activate its downstream effector, eukaryotic elongation factor 2 kinase (eEF2K), which can promote cell survival 27 .”
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Synaptic Plasticity—Intrinsic Excitability and Antidepressant Discovery
Tanaka, M. (2026) · Biomedicines · doi:10.3390/biomedicines14061265
- Authors
- Liu, R., & Proud, C. G.
- Affiliations
- South Australian Health and Medical Research Institute (AU)
- Corresponding author
- Proud, Christopher G
- Venue
- Acta Pharmacologica Sinica
- Published
- 2016-01-25
- Volume
- 37
- Issue
- 3
- Pages
- 285-294
- ISSN
- 0253-9756 (ISSN-L)
- 1671-4083
- 1745-7254
- PMC
- PMC4775846
- OpenAlex
- W2410758979
- Cited by
- 117
- References
- 66
- Citations by year
- 2026: 11 · 2025: 22 · 2024: 10 · 2023: 14 · 2022: 12 · 2021: 16 · 2020: 11 · 2019: 6 · 2018: 5 · 2017: 5 · 2016: 5
- FWCI
- 0.63
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Acta Pharmacologica Sinica (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › PI3K/AKT/mTOR signaling in cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Kinase Regulation and GTPase Signaling
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA and protein synthesis mechanisms
- Keywords
- eEF2K, eEF2 phosphorylation, translation elongation, protein kinase inhibitors, small molecule inhibitors, cancer, cardiovascular disease, atherosclerosis, pulmonary arterial hypertension, neurodegenerative diseases, depression, therapeutic target
- MeSH terms
- Animals, Cardiovascular Diseases, Humans, Neoplasms, Neurodegenerative Diseases, Protein Kinase Inhibitors, Elongation Factor 2 Kinase, Drug Discovery, Molecular Targeted Therapy
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