Target intelligence / Profile preview

Keratin, type I cytoskeletal 18 (KRT18)

Target
KRT18
Molecular classification
Intermediate filament protein, Cytoskeletal protein, Type I keratin
01

Overview

Keratin, type I cytoskeletal 18 (KRT18), is a non-hair type I keratin widely expressed in simple epithelial tissues, such as hepatocytes, gastrointestinal epithelia, and others, generally forming heterodimers with keratin 8 (KRT8)[1][2][3][5]. It is a structural component of the cytoskeleton, providing mechanical support and resistance to stress in epithelial cells[1][2][3][4]. KRT18 is implicated in multiple regulatory processes including cell proliferation, apoptosis, cell cycle control, and signal transduction, often acting through interactions with partners or regulatory proteins[1][2]. Its expression and post-translational modification patterns are frequently altered in epithelial-derived tumors and various liver diseases[1][2][3]. CK18 fragments generated by caspase-mediated cleavage (M30) or released intact (M65) during cell death serve as clinically valuable biomarkers for diagnosis, prognosis, and therapy monitoring in cancer[1][2]. KRT18 also plays a role in alternative splicing regulation, further expanding its biological significance in cancer pathways[1]. No evidence of misspelling or fundamental errors for this target; it is a well-characterized cytoskeletal protein with established roles in disease and clinical pathology.

Other names
Keratin 18Cytokeratin 18CK-18K18CYK18Cell proliferation-inducing gene 46 proteinPIG46
02

Mechanism of action

Drugs that induce apoptosis in epithelial-derived tumors can increase caspase-mediated cleavage of CK18, resulting in increased levels of M30/M65 fragments in blood, which serve as pharmacodynamic markers

03

Biological functions

Mechanical support and cellular integrityCell proliferationRegulation of apoptosis/cell deathRegulation of cell cycleSignal transductionAlternative splicing regulation
04

Disease associations

Cancer (multiple types including gastric, breast, colorectal, lung, and hepatocellular cancers)Liver disease (chronic liver disease, cryptogenic cirrhosis, primary biliary cirrhosis)Inflammatory bowel disease
05

Safety considerations

Few direct therapeutic interventions targeting CK18 are known; the main therapeutic challenge is the specificity of CK18 as a biomarker, as it is highly expressed in various epithelial tissues, potentially limiting specificity for cancer detection and monitoring
06

Biomarkers

Intact CK18 (M65) and caspase-cleaved CK18 (M30): used as biomarkers for cell death (apoptosis and necrosis) in cancer, particularly for patient selection and response monitoringSerum CK18 levels: diagnostic and prognostic marker in cancer (especially adenocarcinomas)

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