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Cytoskeletal proteins constitute a dynamic and complex framework of filaments—categorized into microtubules, microfilaments (actin), and intermediate filaments—that provide the essential structural architecture and mechanical integrity of eukaryotic cells [5, 12]. Beyond providing physical support, these proteins are integral to a vast array of biological processes, including the regulation of cell shape, intracellular organelle transport, signal transduction, and the orchestration of chromosomal segregation during mitosis [6, 11]. In many disease states, particularly cancer, the cytoskeletal network is reprogrammed to support the pathological hallmarks of uncontrolled proliferation, increased motility, and tissue invasion [2, 9]. Consequently, several components of the cytoskeleton serve as primary therapeutic targets; for example, microtubule-stabilizing agents like taxanes and tubulin-polymerization inhibitors like vinca alkaloids are foundational in modern oncology [4, 16]. While emerging research investigates targeting actin-associated proteins and intermediate filaments for neurodegenerative and cardiovascular conditions, the high conservation of these proteins across different cell types presents a significant challenge for drug specificity, often leading to dose-limiting toxicities such as peripheral neuropathy [4, 13, 14].
Drugs targeting the cytoskeletal network primarily function by modulating the assembly and disassembly dynamics of its protein subunits. This is achieved through three major mechanisms: stabilization of existing polymers (e.g., taxanes preventing microtubule depolymerization), inhibition of polymerization (e.g., vinca alkaloids sequestering tubulin dimers or capping filament ends), and the active promotion of polymer disassembly/depolymerization [4, 6, 16].
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