Target intelligence / Profile preview

Ikaros family zinc finger protein 1 and Ikaros family zinc finger protein 3 (IKZF1 (Ikaros), IKZF3 (Aiolos))

Target
IKZF1 (Ikaros), IKZF3 (Aiolos)
Molecular classification
Transcription factor, Zinc finger protein
01

Overview

IKZF1 (Ikaros family zinc finger protein 1) and IKZF3 (Ikaros family zinc finger protein 3, also known as Aiolos) are members of the Ikaros family of zinc finger transcription factors, which regulate gene expression crucial for the development, differentiation, and function of lymphoid and other hematopoietic cells[1][4][6][9][10]. They bind DNA through C2H2-type zinc finger motifs and function as homo- or heterodimers with each other and with other family members. Both are key regulators of B-cell and T-cell development and function, chromatin remodeling, and immune system maintenance. Frequent alterations or deletions in these genes are associated with lymphoid malignancies, particularly B-cell acute lymphoblastic leukemia and multiple myeloma[2][4]. They are therapeutically targeted by immunomodulatory drugs (IMiDs) such as lenalidomide and pomalidomide, which induce their proteasomal degradation via the cereblon E3 ubiquitin ligase, leading to anti-tumor activity especially in multiple myeloma. Their status serves as a prognostic and predictive biomarker in various hematological diseases, but targeting increases the risk of infection and immune dysfunction[2][4][5].

Other names
Ikaros (IKZF1)Aiolos (IKZF3)IkZF familyDNA-binding protein Ikaros
02

Mechanism of action

Targeted protein degradation via cereblon-dependent ubiquitination/proteasomal degradation (IMiDs such as lenalidomide/pomalidomide promote cereblon-mediated IKZF1/IKZF3 degradation) Inhibition of transcriptional regulatory function, leading to anti-cancer (notably anti-myeloma) effects

03

Biological functions

Regulation of hematopoiesisLymphocyte (B- and T-cell) developmentCell differentiationImmune responseChromatin remodelingRegulation of apoptosis (especially through control of BCL2 and other pathways)
04

Disease associations

Cancer (notably acute lymphoblastic leukemia, multiple myeloma)ImmunodeficiencyAutoimmune diseaseOther blood disorders (e.g. chronic lymphocytic leukemia)
05

Safety considerations

Depletion/dysfunction can lead to broad immunosuppressionIncreased susceptibility to infectionsRisk of secondary malignancies (with prolonged IMiD therapy)Resistance develops with certain gene alterations/deletions[2]
06

Interacting drugs

Thalidomide and analogs (lenalidomide, pomalidomide)

1 more in the full profile.

07

Biomarkers

IKZF1/IKZF3 expression levels for therapy selection and risk stratification in multiple hematological malignanciesPresence of IKZF1 deletions/mutations as prognostic markers in leukemia (esp. B-cell ALL and Ph+ ALL)[2]

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