Target intelligence / Profile preview

Cereblon-containing E3 ubiquitin ligase (CRL4-CRBN)

Target
CRL4-CRBN
Molecular classification
E3 ubiquitin ligase, Enzyme, Cullin-RING ligase, Substrate receptor
01

Overview

The Cereblon-containing E3 ubiquitin ligase complex, specifically the CRL4-CRBN complex, is a multi-protein machinery responsible for the ubiquitination and subsequent proteasomal degradation of specific cellular proteins [1, 3, 4, 7, 8, 9, 10, 12, 13, 15, 18, 19]. It consists of the substrate receptor Cereblon (CRBN), the adapter protein DDB1, the scaffold protein Cullin-4 (CUL4A or CUL4B), and the RING-finger protein RBX1 [1, 3, 4, 5, 14, 15, 18, 19]. CRBN is the primary target of immunomodulatory imide drugs (IMiDs) like thalidomide, lenalidomide, and pomalidomide [1, 2, 3, 4, 5, 6, 8, 9, 12, 13, 14, 16, 18, 19, 20, 21]. These drugs act as molecular glues, altering the substrate specificity of the ligase to recruit and degrade neosubstrates such as the transcription factors Ikaros (IKZF1) and Aiolos (IKZF3), which are critical for the survival of multiple myeloma cells [4, 8, 9, 12, 13, 14, 18, 19, 20, 21]. Beyond cancer, CRBN plays roles in neuronal development, and its dysfunction is linked to autosomal recessive nonsyndromic mental retardation [1, 4, 12, 15]. The complex is also a cornerstone of Proteolysis-Targeting Chimera (PROTAC) technology, where it is hijacked to degrade a wide variety of disease-causing proteins [3, 7, 8, 10, 11, 12, 19, 20].

Other names
CRBNCereblonCullin-4 RING E3 ubiquitin ligase complexCRL4-CRBN E3 ubiquitin ligaseMRT2MRT2A
02

Mechanism of action

Molecular glue-mediated neosubstrate recruitment and targeted protein degradation

03

Biological functions

Protein ubiquitinationProteasomal degradationCell cycle regulationEmbryogenesisImmune responseSignal transductionNeuronal developmentMetabolism
04

Disease associations

Multiple myelomaMyelodysplastic syndromeHematologic malignancyInflammationAutoimmune diseaseMental retardationErythema nodosum leprosum
05

Safety considerations

TeratogenicityPeripheral neuropathyVenous thromboembolismMyelosuppressionDrug resistance via CRBN mutation
06

Interacting drugs

Thalidomide

5 more in the full profile.

07

Biomarkers

CRBN expressionIKZF1 (Ikaros) levelsIKZF3 (Aiolos) levelsIRF4 levelsCK1alpha levels

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