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The cAMP response element-binding protein (CREB)-CREB-binding protein (CBP)-CREB-regulated transcription coactivator 2 (CRTC2) transcriptional complex is a fundamental regulatory unit in the control of cellular gene expression, particularly in response to hormonal and metabolic signals. This complex is central to hepatic gluconeogenesis, where CRTC2 acts as a metabolic sensor that translocates to the nucleus during fasting to facilitate the assembly of CREB and CBP on the promoters of key gluconeogenic enzymes like phosphoenolpyruvate carboxykinase (PEPCK) and glucose-6-phosphatase (G6Pase) [1]. In pathological states such as Type 2 diabetes, the complex is often hyperactivated, leading to excessive glucose production and fasting hyperglycemia [2]. Beyond metabolism, the complex is implicated in various cancers where it drives the expression of genes promoting cell survival and proliferation [4]. Therapeutic strategies targeting this complex include small molecules that disrupt the protein-protein interactions between CREB and its coactivators or inhibitors of upstream kinases, such as salt-inducible kinases (SIKs), which regulate the phosphorylation and nuclear localization of CRTC2 [2, 3]. While promising for metabolic and oncogenic indications, targeting this complex presents significant challenges due to the ubiquitous role of CREB in essential processes like neuronal survival and memory formation [1].
Disruption of the protein-protein interaction (PPI) between the KID domain of CREB and the KIX domain of CBP, or the inhibition of salt-inducible kinases (SIKs) to prevent CRTC2 dephosphorylation and nuclear translocation, thereby suppressing the transcription of gluconeogenic genes [1, 2, 3].
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