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Showing PRKRAPACT is a alias.

PRKRA

Interferon-inducible double-stranded RNA-dependent protein kinase activator A · UniProt O75569

Length
313 aa
Mass
34.4 kDa
Annotated
2026-06-10
32 papers in source corpus 13 papers cited in narrative 13 extracted findings
Cross-family judge vs UniProt: Affinage preferred faithfulness: 7/7 claims corpus-supported (100%)

Mechanistic narrative

Synthesis pass · prose summary of the discoveries below

PRKRA (PACT/RAX) is a double-stranded RNA-binding protein that functions as a central activator of the integrated stress response (ISR), coupling cellular stress to translational control (PMID:33049316, PMID:40280134). Upon stress, PACT undergoes homodimerization through its third dsRNA-binding domain and physically engages the protein kinase PKR, driving PKR activation and downstream eIF2α phosphorylation; in unstressed cells PACT and PKR are held inactive in complexes with the inhibitory protein TRBP, and stress dissociates these inhibitory interactions to license pro-apoptotic PACT-PACT and PACT-PKR contacts (PMID:33049316). In pluripotent cells lacking an active interferon/PKR system, the PACT dimer itself acts as the genuine dsRNA sensor and represses global protein synthesis in a PKR-independent manner by sequestering eIF2 complexes away from the translation machinery, a mechanism that restricts RNA virus replication; this dsRNA sensing depends on binding affinity, since m1ψ modification of dsRNA reduces PACT binding and relieves translational repression (PMID:40280134, PMID:41099713). PACT-mediated PKR activation and eIF2α phosphorylation are required for normal cerebellar development and Purkinje neuron dendritic arborization in vivo, and dsRNA-binding-disrupting mutations cause broad developmental defects (PMID:39512178, PMID:22194846). DYT-PRKRA (DYT16) dystonia is caused by PRKRA mutations that strengthen PACT-PACT and PACT-PKR interactions, dysregulating the ISR and promoting caspase-dependent apoptosis; a frameshift mutant that loses dsRNA and PKR binding but retains TRBP binding displaces PACT from TRBP to activate PKR, and a separate mutation augments dsRNA-triggered IFN-β induction via RIG-I signaling (PMID:33049316, PMID:31246344, PMID:35625640). The flavonoid luteolin disrupts pathological PACT-PKR interactions and protects DYT-PRKRA cells from apoptosis (PMID:33049316, PMID:36874028). Beyond stress signaling, PACT contributes to miRNA biogenesis through interaction with Dicer (PMID:21937511, PMID:30305341), modulates DMRT1-driven transcription (PMID:32251494), and acts as a transcriptional regulator of MMP1 via NF-κB in cancer contexts (PMID:37484321).

Mechanistic history

Synthesis pass · year-by-year structured walk · 13 steps
  1. 2011 High

    Establishing that PACT's dsRNA-binding function is physiologically required addressed whether this biochemical activity has organismal consequences beyond cell-based assays.

    Evidence Point mutation (S130P) in the second RNA-binding domain of mouse Prkra, in vitro dsRNA binding assay and developmental phenotyping of homozygous mice

    PMID:22194846

    Open questions at the time
    • Did not resolve which downstream effector (PKR vs eIF2 sequestration) mediates the developmental phenotypes
    • Lowered steady-state protein levels confound interpretation of the binding defect
  2. 2011 Medium

    Identifying PRKRA as a miR-122 target and a regulator of newly synthesized miRNA accumulation extended PACT's role from stress signaling into miRNA biogenesis via its Dicer association.

    Evidence Affinity purification with biotinylated miR-122, microarray and qRT-PCR, plus siRNA knockdown of PRKRA with miRNA quantification

    PMID:21937511

    Open questions at the time
    • Effect seen only on newly synthesized, not endogenous steady-state, miRNAs
    • Direct biochemical role within the Dicer complex not dissected
  3. 2018 Medium

    Linking PACT-Dicer-mediated miRNA regulation to chemoresistance showed the pathway has pathological consequences in cancer.

    Evidence siRNA kinome screen, PRKRA knockdown, miR-515-3p/AXL analysis, orthotopic mouse mucinous ovarian cancer model

    PMID:30305341

    Open questions at the time
    • Whether the chemoresistance effect requires PACT's dsRNA/PKR functions is unaddressed
    • Direct PACT-Dicer binding not re-validated here
  4. 2019 High

    Dissecting a DYT16 frameshift mutant clarified how a PACT variant lacking dsRNA and PKR binding can still drive disease, implicating TRBP displacement as the toxic mechanism.

    Evidence In vitro dsRNA binding, co-IP of mutant with PKR/TRBP, aggregation imaging and caspase assays in mammalian cells

    PMID:31246344

    Open questions at the time
    • Relative contributions of PKR-dependent vs independent apoptosis not quantified
    • Aggregation toxicity mechanism not separated from TRBP displacement
  5. 2020 High

    Demonstrating that DYT16 missense mutations strengthen PACT-PACT and PACT-PKR interactions to dysregulate the ISR provided the unifying molecular mechanism for the dystonia and a druggable target.

    Evidence Reciprocal co-IP, PKR kinase and eIF2α phosphorylation assays, apoptosis assays in patient-derived lymphoblasts, luteolin rescue

    PMID:33049316

    Open questions at the time
    • Connection from lymphoblast ISR phenotype to neuronal pathology not directly shown
    • Stoichiometry of the TRBP-PACT-PKR switch not structurally defined
  6. 2020 Medium

    Identifying PACT as a DMRT1 co-activator antagonized by p53 placed PACT in transcriptional control of gonadal gene expression.

    Evidence Co-IP from Xenopus testis with MS/MS, luciferase reporter assays in 293T, in situ hybridization in tadpole gonads

    PMID:32251494

    Open questions at the time
    • Direct vs indirect PACT-DMRT1 binding not distinguished
    • No demonstration of endogenous target gene regulation
  7. 2022 Medium

    Showing the P222L mutation augments dsRNA-induced IFN-β via RIG-I extended DYT-PRKRA pathology into innate immune dysregulation.

    Evidence IFN-β reporter assays and ISG qRT-PCR after dsRNA stimulation in patient-derived cells

    PMID:35625640

    Open questions at the time
    • Mechanism by which PACT engages RIG-I not biochemically defined
    • Relationship between IFN induction and the PKR/ISR axis unresolved
  8. 2023 Medium

    Confirming luteolin disrupts pathological PACT-PKR interactions and rescues apoptosis advanced a candidate therapeutic strategy for DYT-PRKRA.

    Evidence Co-IP interaction-disruption and apoptosis assays in DYT-PRKRA patient-derived cells

    PMID:36874028

    Open questions at the time
    • No in vivo efficacy or neuronal rescue shown
    • Binding site/selectivity of luteolin not defined
  9. 2023 Medium

    Demonstrating PRKRA drives MMP1 transcription through NF-κB/P65 revealed a transcriptional, pro-tumorigenic role in pancreatic cancer.

    Evidence Knockdown/overexpression, transcriptome sequencing, ChIP and dual-luciferase for P65-MMP1 promoter, xenograft and organoid models

    PMID:37484321

    Open questions at the time
    • How PRKRA activates NF-κB upstream is not established
    • Link to PACT's canonical dsRNA/PKR functions unexplored
  10. 2024 High

    An in vivo mouse frameshift model established that PACT-mediated PKR activation and eIF2α phosphorylation are required for cerebellar development and Purkinje neuron arborization, connecting the molecular switch to neurodevelopmental phenotype.

    Evidence Co-IP, PKR kinase and eIF2α phosphorylation assays, cerebellar histology and Purkinje morphology in Prkralear-5J mice

    PMID:39512178

    Open questions at the time
    • Cell-autonomous vs non-autonomous requirement in Purkinje neurons not resolved
    • Whether human DYT16 acts through the same developmental mechanism unclear
  11. 2025 High

    Defining PACT dimers as the genuine dsRNA sensor that sequesters eIF2 in PKR-deficient pluripotent cells revealed a PKR-independent translational-control mechanism and antiviral function.

    Evidence dsRNA binding and eIF2 sequestration assays, global translation and virus replication measurements in zebrafish embryos and mouse ES cells, PKR-independent epistasis

    PMID:40280134

    Open questions at the time
    • Structural basis of eIF2 sequestration by the PACT dimer not defined
    • Whether this mechanism operates in differentiated human cells unaddressed
  12. 2025 High

    Showing m1ψ modification reduces dsRNA binding to PACT and relieves translational repression linked PACT sensing to mRNA therapeutic design and embryonic mRNA toxicity.

    Evidence Binding affinity assays of m1ψ-dsRNA to Prkra dimer, translation efficiency and viability/MZT assays in zebrafish embryos

    PMID:41099713

    Open questions at the time
    • Molecular determinants of m1ψ-mediated affinity loss not mapped
    • Applicability to mammalian/human pluripotent systems untested
  13. 2025 Low

    A hepatic cholesterol-handling phenotype hinted at a role for PRKRA in lipid metabolism via HMGCS1 and LDLR regulation.

    Evidence siRNA knockdown/overexpression in HepG2/HuH7, cholesterol and Dil-LDL uptake assays, transcriptome sequencing

    PMID:40349061

    Open questions at the time
    • No direct mechanistic link between PRKRA and cholesterol pathway enzymes established
    • Single-lab cell-line phenotype without in vivo validation

Open questions

Synthesis pass · forward-looking unresolved questions
  • How PACT's distinct activities — PKR-dependent ISR activation, PKR-independent eIF2 sequestration, RIG-I/IFN induction, Dicer-coupled miRNA biogenesis, and NF-κB/DMRT1 transcriptional roles — are partitioned and coordinated within a single cell remains unresolved.
  • No structural model of the TRBP-PACT-PKR regulatory switch
  • Tissue- and cell-state-specific selection among PACT's functions undefined
  • Direct mechanism of PACT-driven NF-κB and RIG-I activation unknown

Mechanism profile

Synthesis pass · controlled-vocabulary classification · explore literature graph →
Molecular activity
GO:0003723 RNA binding 4 GO:0098772 molecular function regulator activity 3 GO:0140110 transcription regulator activity 2 GO:0140313 molecular sequestering activity 1
Localization
GO:0005829 cytosol 1
Pathway
R-HSA-392499 Metabolism of proteins 2 R-HSA-8953854 Metabolism of RNA 2 R-HSA-8953897 Cellular responses to stimuli 2 R-HSA-168256 Immune System 1

Evidence

Reading pass · 13 per-paper findings extracted from the source corpus
Year Finding Method Journal Conf PMIDs
2020 Five DYT16 substitution mutations in PACT/PRKRA cause stronger PACT-PACT homodimerization interactions and enhanced PKR activation, leading to dysregulation of the integrated stress response (ISR) and increased apoptosis in patient-derived lymphoblasts. In the absence of stress, PACT and PKR are both bound and inhibited by TRBP; under stress, inhibitory PACT-TRBP and PKR-TRBP interactions dissociate, enabling pro-apoptotic PACT-PACT and PACT-PKR interactions. The flavonoid luteolin disrupts PACT-PKR interactions and rescues the enhanced ER-stress sensitivity. Biochemical interaction assays (co-immunoprecipitation), PKR kinase activation assays, eIF2α phosphorylation measurement, apoptosis assays in DYT16 patient-derived lymphoblasts, luteolin rescue experiments Neurobiology of disease High 33049316
2019 A frameshift (FS) DYT16 mutation in PACT produces a truncated protein that loses its ability to bind dsRNA and to interact directly with PKR, but retains the ability to interact with PACT itself and with the PKR-inhibitory protein TRBP. When expressed in mammalian cells, the truncated protein aggregates and triggers caspase-dependent apoptosis both in a PKR/PACT-dependent and independent manner. Interaction of the FS mutant with TRBP displaces PACT from the TRBP-PACT complex, resulting in PKR activation and apoptosis. In vitro dsRNA-binding assay, co-immunoprecipitation of mutant PACT with PKR and TRBP, fluorescent fusion protein aggregation imaging in mammalian cells, caspase activation assays Journal of cellular biochemistry High 31246344
2024 A frameshift mutation in the murine Prkra gene (Prkralear-5J) produces a truncated PACT/RAX protein that retains its ability to interact with PKR but inhibits PKR activation, resulting in reduced eIF2α phosphorylation in the cerebellum and Purkinje neurons. Homozygous mutant mice show abnormal cerebellar development and severe lack of Purkinje neuron dendritic arborization, establishing PACT-mediated PKR activation and eIF2α phosphorylation as required for normal cerebellar development. Biochemical co-IP (PACT-PKR interaction), PKR kinase activity assays, eIF2α phosphorylation measurement by western blot, histological analysis of cerebellar development, Purkinje neuron morphology assessment in Prkralear-5J homozygous mice Disease models & mechanisms High 39512178
2025 Prkra dimer (via its dimerized dsRNA-binding domain 3) acts as the genuine dsRNA sensor in pluripotent cells (zebrafish embryos and mouse embryonic stem cells) in the absence of an active interferon system. Upon dsRNA binding, activated Prkra dimer sequesters eIF2 complexes away from the translation machinery, inhibiting global protein synthesis in a PKR-independent manner. This mechanism restricts RNA virus replication in zebrafish embryos and compensates for PKR function in differentiated cells. dsRNA binding assays, eIF2 complex pull-down/sequestration assays, global translation measurements in zebrafish embryos and mouse ES cells, PKR-independent epistasis experiments, virus replication assays Molecular cell High 40280134
2025 N1-methylpseudouridine (m1Ψ) modification of IVT mRNA significantly reduces its binding affinity to the Prkra dimer, thereby preventing Prkra-mediated global translation repression in early zebrafish embryos (pluripotent cells). Unmodified IVT mRNA dsRNA by-products activate Prkra to induce cell necrosis and delay maternal-zygotic transition by reducing global translation efficiency. Binding affinity assays between m1Ψ-modified dsRNA and Prkra dimer, global translation efficiency measurements, cell viability and MZT assays in zebrafish embryos with modified/unmodified IVT mRNA Nucleic acids research High 41099713
2011 A missense mutation (Serine 130 to Proline) in the second RNA-binding domain of mouse Prkra (RAX/PACT) disrupts dsRNA binding without affecting mRNA expression, but significantly lowers steady-state protein levels in the brain. Homozygous rep mice display defects in ear development, growth, craniofacial development, and ovarian structure, establishing the dsRNA-binding function of Prkra as important for multiple developmental processes. Chemical mutagenesis, co-segregation mapping, dsRNA binding assay in vitro, western blot for protein levels, histological phenotype analysis of ear, skull, and ovary in homozygous mice PloS one High 22194846
2022 The DYT-PRKRA P222L mutation in PACT augments PACT's ability to induce IFN-β in response to dsRNA via the RIG-I signaling pathway. Basal expression of IFN-β and interferon-stimulated genes (ISGs) is higher in DYT-PRKRA patient cells, and IFN-β and ISGs are induced to higher levels in DYT-PRKRA cells following dsRNA stimulation, demonstrating that P222L enhances PACT's role in type I IFN induction. IFN-β reporter assays, qRT-PCR for ISG expression, dsRNA stimulation of DYT-PRKRA patient-derived cells and controls Biomolecules Medium 35625640
2023 Luteolin, a plant flavonoid previously identified as an inhibitor of the PACT-PKR interaction by high-throughput screening, markedly disrupts pathological PACT-PKR interactions in DYT-PRKRA cells (carrying enhanced PACT-PKR interaction mutations) and protects these cells against apoptosis. PACT-PKR interaction assays (co-IP), apoptosis assays in DYT-PRKRA patient-derived cells treated with luteolin Frontiers in pharmacology Medium 36874028
2011 PRKRA (PACT) is a direct target gene of liver-specific miR-122. miR-122 and siRNA-mediated knockdown of PRKRA both facilitate the accumulation of newly synthesized miRNAs (but do not detectably affect endogenous miRNA levels), implicating PRKRA in regulation of miRNA biogenesis, consistent with its known role as a Dicer-interacting protein. Affinity purification with biotinylated synthetic miR-122, microarray analysis of pulled-down RNAs, qRT-PCR validation, siRNA knockdown of PRKRA with miRNA quantification Nucleic acids research Medium 21937511
2018 PRKRA/PACT promotes chemoresistance in mucinous ovarian cancer (MOC) via its interaction with Dicer, which regulates expression of miR-515-3p. miR-515-3p, in turn, increases sensitivity to oxaliplatin by targeting AXL. PRKRA knockdown combined with oxaliplatin produced significant antitumor effects in orthotopic mouse MOC models. siRNA kinome screen, orthotopic mouse model, siRNA knockdown of PRKRA, miR-515-3p expression analysis, AXL targeting validation Molecular cancer therapeutics Medium 30305341
2020 PACT/PRKRA interacts with the transcription factor DMRT1 (identified by immunoprecipitation from Xenopus testis followed by MS/MS), and significantly enhances DMRT1-driven transcriptional activity in transfected 293T cells. p53 represses DMRT1 activity and strongly attenuates the enhancement conferred by PACT/PRKRA. Co-immunoprecipitation from Xenopus testes with anti-DMRT1 antibody, MS/MS identification of interactors, luciferase reporter assay in 293T cells, in situ hybridization for Pact/Prkra mRNA in tadpole gonads Genetics and molecular biology Medium 32251494
2023 PRKRA upregulates the transcription of MMP1 via the NF-κB pathway in pancreatic cancer cells. ChIP and dual-luciferase reporter assays demonstrated that the NF-κB subunit P65 binds to the MMP1 promoter downstream of PRKRA. PRKRA knockout decreased organoid proliferation, while overexpression enhanced xenograft growth and chemoresistance. siRNA/CRISPR knockdown and lentiviral overexpression, transcriptome sequencing, ChIP assay for P65 binding to MMP1 promoter, dual-luciferase reporter assay, xenograft mouse model, organoid culture Heliyon Medium 37484321
2025 PRKRA knockdown in hepatic cell lines (HepG2, HuH7) increases intracellular total cholesterol and decreases LDL uptake, while PRKRA overexpression has the opposite effect. Mechanistically, reduced PRKRA levels are associated with HMGCS1 upregulation (increased cholesterol biosynthesis) and LDLR downregulation (reduced LDL uptake), as revealed by transcriptome sequencing. siRNA knockdown and overexpression in HepG2/HuH7 cells, intracellular cholesterol measurement, Dil-LDL uptake assay, transcriptome sequencing Lipids in health and disease Low 40349061

Source papers

Stage 0 corpus · 32 papers · ranked by NIH iCite citations
Year Title Journal Citations PMID
2008 DYT16, a novel young-onset dystonia-parkinsonism disorder: identification of a segregating mutation in the stress-response protein PRKRA. The Lancet. Neurology 163 18243799
2014 DYT16 revisited: exome sequencing identifies PRKRA mutations in a European dystonia family. Movement disorders : official journal of the Movement Disorder Society 40 25142429
2011 Hepato-specific microRNA-122 facilitates accumulation of newly synthesized miRNA through regulating PRKRA. Nucleic acids research 33 21937511
2020 Dystonia 16 (DYT16) mutations in PACT cause dysregulated PKR activation and eIF2α signaling leading to a compromised stress response. Neurobiology of disease 27 33049316
2018 PRKRA/PACT Expression Promotes Chemoresistance of Mucinous Ovarian Cancer. Molecular cancer therapeutics 27 30305341
2017 The prevalence of PRKRA mutations in idiopathic dystonia. Parkinsonism & related disorders 25 29279192
2012 DYT16: the original cases. Journal of neurology, neurosurgery, and psychiatry 18 22842711
2019 A truncated PACT protein resulting from a frameshift mutation reported in movement disorder DYT16 triggers caspase activation and apoptosis. Journal of cellular biochemistry 15 31246344
2011 Missense mutation in the second RNA binding domain reveals a role for Prkra (PACT/RAX) during skull development. PloS one 15 22194846
2022 Novel lncRNA AL033381.2 Promotes Hepatocellular Carcinoma Progression by Upregulating PRKRA Expression. Oxidative medicine and cellular longevity 11 35035655
2023 PRKRA promotes pancreatic cancer progression by upregulating MMP1 transcription via the NF-κB pathway. Heliyon 10 37484321
2019 Mutational and structural studies uncover crucial amino acids determining activity and stability of 17β-HSD14. The Journal of steroid biochemistry and molecular biology 10 30836176
2018 Structure-based design and profiling of novel 17β-HSD14 inhibitors. European journal of medicinal chemistry 10 29859505
2008 DICER1 and PRKRA in Colon Adenocarcinoma. Biomarker insights 9 19578509
2020 PACT/PRKRA and p53 regulate transcriptional activity of DMRT1. Genetics and molecular biology 7 32251494
2016 Mutational analysis of GSC, HOXA2 and PRKRA in 106 Chinese patients with microtia. International journal of pediatric otorhinolaryngology 7 28109504
2022 Uniparental disomy screen of Irish rare disorder cohort unmasks homozygous variants of clinical significance in the TMCO1 and PRKRA genes. Frontiers in genetics 6 36186440
2025 Prkra dimer senses double-stranded RNAs to dictate global translation efficiency. Molecular cell 5 40280134
2023 Luteolin protects DYT-PRKRA cells from apoptosis by suppressing PKR activation. Frontiers in pharmacology 5 36874028
2017 Ctenopharyngodon idella IRF2 and ATF4 down-regulate the transcriptional level of PRKRA. Fish & shellfish immunology 5 28263879
2022 Prkra Mutation Alters circRNA Expression During Embryonic External Ear Development. The Journal of craniofacial surgery 4 35165239
2024 Mutation in Prkra results in cerebellar abnormality and reduced eIF2α phosphorylation in a model of DYT-PRKRA. Disease models & mechanisms 3 39512178
2022 DYT-PRKRA Mutation P222L Enhances PACT's Stimulatory Activity on Type I Interferon Induction. Biomolecules 3 35625640
2022 Point Mutation in Prkra Alters miRNA Expression During Embryonic External Ear Development. The Journal of craniofacial surgery 2 35968958
2025 Global translational regulation by Prkra: Is PKR no longer needed? Molecular cell 1 40378825
2025 N1-methylpseudouridine mRNA modification enhances efficiency and specificity of gene overexpression by preventing Prkra-mediated global translation repression. Nucleic acids research 1 41099713
2024 A frameshift mutation in the murine Prkra gene causes dystonia and exhibits abnormal cerebellar development and reduced eIF2α phosphorylation. bioRxiv : the preprint server for biology 1 38895245
2022 Prkra Mutation Alters Long Noncoding RNA Expression During Embryonic External Ear Development. The Journal of craniofacial surgery 1 35968982
2025 Decreased protein activator of interferon induced protein kinase (PRKRA) involved in menopause-related cholesterol metabolic disorders by regulating cholesterol biosynthesis. Lipids in health and disease 0 40349061
2025 A Homozygous c.74A>G Variant in PRKRA Causes DYT-PRKRA: Extensive Familial Segregation and a Variant of Uncertain Significance (VUS) Reclassification. Movement disorders : official journal of the Movement Disorder Society 0 40879515
2023 Prkra Mutation Alters mRNA Expression During Embryonic External Ear Development. The Journal of craniofacial surgery 0 37185168
2023 Retracted: Novel lncRNA AL033381.2 Promotes Hepatocellular Carcinoma Progression by Upregulating PRKRA Expression. Oxidative medicine and cellular longevity 0 37810563

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