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Updated: Jan 20, 2026

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Published on: February 12, 2022
Tumor-derived CK1α mutations enhance MDMX inhibition of p53
Xia Liu1,2, Qingling Huang1, Lihong Chen1
1Molecular Oncology Department, Moffitt Cancer Center, 12902 Magnolia Drive, 33612, Tampa, FL, USA.
Abstract:
Somatic missense mutations of the CSNK1A1 gene encoding casein kinase 1 alpha (CK1α) occur in a subset of myelodysplastic syndrome (MDS) with del(5q) karyotype. The chromosomal deletion causes CSNK1A1 haplo-insufficiency. CK1α mutations have also been observed in a variety of solid and hematopoietic tumors at low frequency. The functional consequence of CK1α mutation remains unknown. Here we show that tumor-associated CK1α mutations exclusively localize to the substrate-binding cleft. Functional analysis of recurrent mutants E98K and D140A revealed enhanced binding to the p53 inhibitor MDMX, increased ability to stimulate MDMX-p53 binding, and increased suppression of p21 expression. Furthermore, E98K and D140A mutants have reduced ability to promote phosphorylation of β-catenin, resulting in enhanced Wnt signaling. The results suggest that the CK1α mutations observed in tumors cause gain-of-function in cooperating with MDMX and inhibiting p53, and partial loss-of-function in suppressing Wnt signaling. These functional changes may promote expansion of abnormal myeloid progenitors in del(5q) MDS, and in rare cases drive the progression of other tumors.
Insights
Somatic mutations in the CSNK1A1 gene, encoding casein kinase 1 alpha (CK1α), are found in myelodysplastic syndromes. These mutations enhance CK1α
Area of Science:
- Molecular Biology
- Cancer Genetics
- Signal Transduction
Background:
- Somatic missense mutations in CSNK1A1, encoding casein kinase 1 alpha (CK1α), are identified in myelodysplastic syndromes (MDS) with del(5q) karyotype.
- CSNK1A1 haplo-insufficiency results from chromosomal deletion in MDS.
- CK1α mutations are infrequently found in various solid and hematopoietic tumors, with their functional impact largely unknown.
Purpose of the Study:
- To investigate the functional consequences of tumor-associated CSNK1A1 mutations.
- To determine how CK1α mutations affect its interaction with p53 pathway components and Wnt signaling.
Main Methods:
- Analysis of tumor-associated CK1α mutations localization within the protein structure.
- Functional assays assessing mutant CK1α binding to MDMX and p53.
- Measurement of p21 and β-catenin phosphorylation levels to evaluate p53 and Wnt pathway activity.
Main Results:
- Tumor-associated CK1α mutations (E98K, D140A) were found in the substrate-binding cleft.
- Mutants showed enhanced binding to MDMX, increased MDMX-p53 interaction, and greater suppression of p21 expression.
- Mutants exhibited reduced β-catenin phosphorylation, leading to enhanced Wnt signaling.
Conclusions:
- CK1α mutations confer gain-of-function by enhancing MDMX interaction and inhibiting p53.
- Mutations also cause partial loss-of-function in suppressing Wnt signaling.
- These alterations may drive myeloid progenitor expansion in del(5q) MDS and contribute to other tumor progressions.
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