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Kinetochore-localized astrin (SPAG5) binding protein (KNSTRN) is a centromere- and spindle-associated protein essential for accurate chromosome alignment and segregation during mitosis[1][2][3][5]. It forms a complex with astrin (SPAG5) to stabilize microtubule-kinetochore attachments and ensure the proper timing of sister chromatid segregation and spindle architecture[1][2][3]. KNSTRN is implicated in the metaphase-to-anaphase transition and maintains chromosome stability. Somatic mutations and overexpression of KNSTRN occur in several malignancies, including cutaneous squamous cell carcinoma, melanoma, and bladder cancer, and are associated with poor prognosis and chemoresistance[3]. KNSTRN is investigated as a prognostic biomarker and a potential therapeutic target, particularly within the context of tumor proliferation, mitotic control, and the tumor immune microenvironment[3]. There are currently no specific therapies directly targeting KNSTRN, but its level correlates with resistance to several anticancer agents[3].
Not directly drugged to date; mechanisms in cancer are based on: - Inhibition or alteration could disrupt mitosis and chromosome segregation, potentially leading to cell cycle arrest and apoptosis in dividing cells - Overexpression promotes AKT signaling, linked to metastasis and chemoresistance in cancer[3]
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