2014
DOI: 10.1126/science.1244851
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Lenalidomide Causes Selective Degradation of IKZF1 and IKZF3 in Multiple Myeloma Cells

Abstract: Lenalidomide is a drug with clinical efficacy in multiple myeloma and other B cell neoplasms, but its mechanism of action is unknown. Using quantitative proteomics, we found that lenalidomide causes selective ubiquitination and degradation of two lymphoid transcription factors, IKZF1 and IKZF3, by the CRBN-CRL4 ubiquitin ligase. IKZF1 and IKZF3 are essential transcription factors in multiple myeloma. A single amino acid substitution of IKZF3 conferred resistance to lenalidomide-induced degradation and rescued … Show more

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Cited by 1,504 publications
(1,432 citation statements)
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“…Given the literature (20,21,23,24), we considered whether Rabex-5 is a substrate of CUL4A CRBN . However, protein levels of recombinant Rabex-5 were unaffected by IMiD treatment.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Given the literature (20,21,23,24), we considered whether Rabex-5 is a substrate of CUL4A CRBN . However, protein levels of recombinant Rabex-5 were unaffected by IMiD treatment.…”
Section: Discussionmentioning
confidence: 99%
“…We suggest that these two observations might be explained if the binding of substrates to Cereblon prevents the formation of a complex with Rabex-5. Thus, according to this hypothesis, the first observation is explained by the IMiD-induced recruitment of substrates IKZF1, IKZF3, and CK1α (17,20,23), perhaps resulting in a conformational change that renders Cereblon incapable of binding Rabex-5. This system is present only in human systems.…”
Section: Discussionmentioning
confidence: 99%
“…CC-220 is a modulator of the cullin ring ligase 4-cereblon (CRL4 CRBN ) E3 ubiquitin ligase complex, which induces ubiquitination of the CRBN substrates Aiolos (encoded by the gene IKZF3) and Ikaros (encoded by the gene IKZF1), resulting in their proteasomal degradation (55)(56)(57). Although thalidomide and related compounds bind both murine and human CRBN, only human CRBN induces ubiquitination and degradation of Aiolos and Ikaros (58).…”
mentioning
confidence: 99%
“…This binding alters the substrate specificity of CRBN-containing ubiquitin ligase complexes (6, 7) even though IMiDs reduce the overall activity of E3 ubiquitin ligase (1). As a result, binding promotes abnormal degradation of the Ikaros zinc finger proteins 1 and 3 (IKZF1 and IKZF3), which in turn increases IL-2 production in T cells (6)(7)(8). However, although the CRBN-mediated effects of IMiDs are known, the physiological role of CRBN in T cells remains unclear.…”
mentioning
confidence: 99%