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The Cullin-RING ligase 4-Cereblon (CRL4-CRBN) E3 ubiquitin ligase complex is a multi-protein machinery essential for cellular protein homeostasis through the ubiquitin-proteasome system (PMID: 20223979). The complex is composed of the scaffold protein Cullin 4 (CUL4A or CUL4B), the RING-finger protein RBX1, the adaptor protein DDB1, and the substrate receptor Cereblon (CRBN), which provides the specificity for target proteins (PMID: 24284194). It is the primary therapeutic target for immunomodulatory imide drugs (IMiDs), such as thalidomide and its derivatives, which function as molecular glues (PMID: 24284195). These drugs bind to a hydrophobic pocket in CRBN, enabling the recruitment and subsequent degradation of neo-substrates like Ikaros (IKZF1) and Aiolos (IKZF3), which are vital for the survival of B-cell malignancies (PMID: 25979828). Beyond its role in cancer therapy, the complex is involved in limb development and its modulation is responsible for the well-known teratogenic effects of thalidomide (PMID: 20223979). Understanding the structural biology of the CRL4-CRBN complex has paved the way for the development of proteolysis-targeting chimeras (PROTACs) and next-generation degraders (PMID: 27281222). This complex represents a cornerstone of targeted protein degradation strategies in modern drug discovery.
Drugs act as molecular glues that bind to the Cereblon (CRBN) subunit, altering the substrate binding surface to recruit and ubiquitinate neo-substrates (e.g., IKZF1, IKZF3, CSNK1A1, GSPT1) for proteasomal degradation (PMID: 24284194, PMID: 24284195).
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