Target intelligence / Profile preview

Mitogen-activated protein kinase kinase kinase 21 (MLK4) (MLK4)

Target
MLK4
Molecular classification
Enzyme, Kinase, MAP kinase kinase kinase (MAP3K), Serine/threonine-protein kinase
01

Overview

Mitogen-activated protein kinase kinase kinase 21 (MLK4), also known as Mixed-lineage kinase 4, is a serine/threonine protein kinase that serves as a critical component of the mitogen-activated protein kinase (MAPK) signaling architecture. It functions as a MAP3K, phosphorylating and activating downstream kinases such as MKK4 and MKK7, which in turn activate the JNK, p38, and ERK pathways to regulate cell growth, migration, and survival (UniProt Q5TCX8; Martini et al., 2013). MLK4 is frequently overexpressed or mutated in several aggressive cancers, including triple-negative breast cancer and microsatellite stable colorectal cancer, where it often cooperates with oncogenic RAS or BRAF signaling to drive tumorigenesis and metastasis (Martini et al., 2013; Das et al., 2025). Beyond oncology, MLK4 has been identified as a negative regulator of TLR4-mediated inflammatory signaling and is implicated in the pathogenesis of neurodegenerative diseases through its role in stress-induced neuronal apoptosis (GeneCards; Marker et al., 2013). While specific MLK4 inhibitors are not yet clinically approved, pan-MLK inhibitors like CEP-1347 and URMC-099 have demonstrated the potential to modulate these pathways in preclinical models of cancer and neuroinflammation (Maroney et al., 2001; Marker et al., 2013). Targeting MLK4 represents a promising strategy for treating chemoresistant tumors and managing neuroinflammatory conditions by disrupting aberrant kinase-driven signaling networks.

Other names
MAP3K21Mixed lineage kinase 4KIAA1804Mitogen-activated protein kinase kinase kinase MLK4
02

Mechanism of action

Inhibition of kinase activity, blocking the phosphorylation of downstream mitogen-activated protein kinase kinases (MKK4, MKK7) and subsequent activation of MAPK signaling cascades (JNK, p38, ERK).

03

Biological functions

Signal transductionJNK pathway activationp38 pathway activationERK pathway activationCell migrationCell proliferationApoptosisNegative regulation of TLR4 signalingNF-kappaB signaling regulation
04

Disease associations

CancerColorectal cancerBreast cancerGastric cancerHepatocellular carcinomaGlioblastomaNeurodegenerative diseaseInflammation
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Safety considerations

Kinome selectivity and off-target effectsPotential impact on innate immune responses due to TLR4 regulationTherapeutic efficacy challenges in neurodegeneration (as seen in CEP-1347 clinical trials)
06

Interacting drugs

CEP-1347

2 more in the full profile.

07

Biomarkers

MLK4 somatic mutations (frequent in microsatellite stable colorectal cancer)MLK4 mRNA/protein overexpressionHER2 phosphorylation status (Y1221/1222)KRAS/BRAF mutation status

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