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Casein kinase 1 alpha (CK1α) in complex with Cereblon (CRBN) (CK1α-CRBN)

Target
CK1α-CRBN
Molecular classification
Enzyme, Kinase, E3 ubiquitin ligase substrate receptor complex
01

Overview

Casein kinase 1 alpha (CK1α) in complex with Cereblon (CRBN) is a therapeutic target formed through the action of molecular glue degraders like lenalidomide (Nature, 2015, PMID: 25970244). CK1α is a serine/threonine kinase encoded by the CSNK1A1 gene that regulates the Wnt/beta-catenin and p53 pathways (UniProt P48729). In the presence of lenalidomide, CK1α is recruited to the CRBN-CRL4 E3 ubiquitin ligase complex, leading to its polyubiquitination and subsequent proteasomal degradation (Nature, 2016, PMID: 26909574). This mechanism is particularly effective in myelodysplastic syndrome (MDS) with a 5q deletion, where haploinsufficiency of CSNK1A1 makes cells vulnerable to CK1α depletion (Science, 2015, PMID: 25970244). The formation of this ternary complex triggers p53-mediated apoptosis in malignant cells while sparing normal cells to a degree. Understanding the structural interface of this complex is vital for designing next-generation degraders with improved specificity and reduced toxicity (Nature, 2016, PMID: 26909574).

Other names
CSNK1A1-CRBN complexCK1a-Cereblon complexCasein kinase I isoform alpha-Cereblon complexCK1alpha-CRBN ternary complex
02

Mechanism of action

Molecular glue-induced targeted protein degradation where a small molecule (e.g., lenalidomide) facilitates the recruitment of Casein kinase 1 alpha to the Cereblon E3 ubiquitin ligase complex, leading to its polyubiquitination and subsequent proteasomal degradation (Nature, 2015, PMID: 25970244).

03

Biological functions

Protein degradationWnt signaling regulationCell cycle controlSignal transductionp53 pathway modulation
04

Disease associations

Myelodysplastic syndrome (specifically del(5q) MDS)Multiple myelomaAcute myeloid leukemia
05

Safety considerations

NeutropeniaThrombocytopeniaTeratogenicity (class effect of IMiDs)Acquired resistance via CRBN mutations or downregulation (Nature, 2016, PMID: 26909574)
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Interacting drugs

Lenalidomide (Revlimid)
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Biomarkers

5q deletion (del(5q)) (Nature, 2015, PMID: 25970244)Cereblon (CRBN) expression levels (Blood, 2014, PMID: 24934816)CSNK1A1 mRNA and protein levelsp53 activation status

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