驱动蛋白KIF23在恶性肿瘤中的研究进展
Research Progress of Kinesin KIF23 in Malignant Tumors
DOI: 10.12677/acm.2026.1651934, PDF,   
作者: 何 郡*:右江民族医学院研究生学院,广西 百色;孙文忠#:广西科技大学医学部,广西 柳州
关键词: 驱动蛋白KIF23恶性肿瘤分子机制靶向治疗肿瘤微环境Kinesin KIF23 Malignant Tumors Molecular Mechanisms Targeted Therapy Tumor Microenvironment
摘要: KIF23作为kinesin-6家族核心成员,通过调控胞质分裂和信号通路重编程在恶性肿瘤发生发展中发挥关键作用。本综述系统阐述了KIF23的分子机制,聚焦KIF23在多种实体瘤中的异常高表达及其与患者预后的显著相关性,论证其作为新兴治疗靶点的潜力。同时,深入探讨靶向KIF23的小分子抑制剂开发、耐药机制及联合免疫治疗的策略挑战,为未来转化研究提供理论依据。最后强调非编码RNA介导的KIF23调控网络在肿瘤微环境重塑中的前沿进展,指明跨学科研究对突破临床瓶颈的重要性。
Abstract: KIF23, a core member of the kinesin-6 family, exerts pivotal functions in malignant tumorigenesis and progression through orchestrating cytokinesis and signal transduction pathway reprogramming. This review systematically delineates the molecular mechanisms underlying KIF23 activity, with particular emphasis on its aberrant overexpression across diverse solid malignancies and the significant correlation with patient prognosis, substantiating its emerging potential as a therapeutic target. Furthermore, we critically examine the developmental landscape of small-molecule inhibitors targeting KIF23, elucidate underlying resistance mechanisms, and address strategic challenges in combinatorial immunotherapeutic approaches, thereby furnishing theoretical foundations for future translational investigations. Finally, we highlight frontier advances in non-coding RNA-mediated regulatory networks of KIF23 within tumor microenvironment remodeling, underscoring the imperative of interdisciplinary research in surmounting clinical bottlenecks.
文章引用:何郡, 孙文忠. 驱动蛋白KIF23在恶性肿瘤中的研究进展[J]. 临床医学进展, 2026, 16(5): 1331-1339. https://doi.org/10.12677/acm.2026.1651934

参考文献

[1] 陈书杰, 徐陶, 金寰, 等. 驱动蛋白超家族参与病理性疼痛机制的研究进展[J]. 中国病理生理杂志, 2025, 41(5): 1006-1013.
[2] 邢亮亮, 徐雷棣, 常宁. 基于生物信息学分析KIF23在肺腺癌中的功能及验证[J]. 国际呼吸杂志, 2023, 43(14): 781-787.
[3] 吴海丰, 李小龙, 李芳, 等. 直肠癌组织中KIF23的表达与预后相关[J]. 基础医学与临床, 2025, 45(8): 1054-1058.
[4] Rayment, I. (1996) Kinesin and Myosin: Molecular Motors with Similar Engines. Structure, 4, 501-504. [Google Scholar] [CrossRef] [PubMed]
[5] 杨阳, 马宇星, 梁艺颖, 等. 驱动蛋白超家族作为肺癌潜在生物标志物和治疗靶点的研究进展[J]. 医学综述, 2019, 25(23): 4674-4680.
[6] Liu, Y., Zhang, J., Chen, Y., Zhu, M., Chen, W., Hao, Z., et al. (2025) KIF23 Silencing Suppresses Papillary Thyroid Carcinoma Metastasis by Regulating Mitophagy via Wnt/β-Catenin Pathway. Endocrine Connections, 14, e250090. [Google Scholar] [CrossRef
[7] 黄瑜, 周先果, 李学宇, 等. 驱动蛋白家族成员23对结直肠癌细胞增殖、迁移的影响及其作用机制[J]. 中国癌症防治杂志, 2022, 14(6): 611-616.
[8] Fischer, M., Grundke, I., Sohr, S., Quaas, M., Hoffmann, S., Knörck, A., et al. (2013) P53 and Cell Cycle Dependent Transcription of Kinesin Family Member 23 (KIF23) Is Controlled via a CHR Promoter Element Bound by DREAM and MMB Complexes. PLOS ONE, 8, e63187. [Google Scholar] [CrossRef] [PubMed]
[9] Geng, A., Qiu, R., Murai, K., Liu, J., Wu, X., Zhang, H., et al. (2018) KIF20A/MKLP2 Regulates the Division Modes of Neural Progenitor Cells during Cortical Development. Nature Communications, 9, Article No. 2707. [Google Scholar] [CrossRef] [PubMed]
[10] Sun, X., Jin, Z., Song, X., Wang, J., Li, Y., Qian, X., et al. (2015) Evaluation of KIF23 Variant 1 Expression and Relevance as a Novel Prognostic Factor in Patients with Hepatocellular Carcinoma. BMC Cancer, 15, Article No. 961. [Google Scholar] [CrossRef] [PubMed]
[11] Bishoyi, A.K., Al-Hasnaawei, S., Ganesan, S., Shankhyan, A., Nanda, A., Sinha, A., et al. (2025) Kinesin Superfamily Proteins in Ovarian Cancer: From Molecular Mechanisms to Clinical Applications. Medical Oncology, 42, Article No. 483. [Google Scholar] [CrossRef
[12] Jian, W., Deng, X., Munankarmy, A., Borkhuu, O., Ji, C., Wang, X., et al. (2021) KIF23 Promotes Triple Negative Breast Cancer through Activating Epithelial-Mesenchymal Transition. Gland Surgery, 10, 1941-1950. [Google Scholar] [CrossRef] [PubMed]
[13] He, X., Wang, J., Zhou, R., Yu, S., Jiang, J. and Zhou, Q. (2022) Kinesin Family Member 23 Exerts a Protumor Function in Breast Cancer via Stimulation of the Wnt/β-Catenin Pathway. Toxicology and Applied Pharmacology, 435, Article 115834. [Google Scholar] [CrossRef] [PubMed]
[14] Wang, X., Wang, W., Zeng, H., Hu, X., Chen, F., Shen, L., et al. (2025) Molecular Structure of Polysaccharide Mediated Autophagy Markers KIF23 and PRC1 Proteins and Their Regulatory Role in Triple Negative Cancer through the P53 Signaling Pathway. International Journal of Biological Macromolecules, 291, Article 139155. [Google Scholar] [CrossRef] [PubMed]
[15] Iltzsche, F., Simon, K., Stopp, S., Pattschull, G., Francke, S., Wolter, P., et al. (2017) An Important Role for Myb-MuvB and Its Target Gene KIF23 in a Mouse Model of Lung Adenocarcinoma. Oncogene, 36, 110-121. [Google Scholar] [CrossRef] [PubMed]
[16] Zhao, C., Wang, X.B., Zhang, Y.H., et al. (2018) MicroRNA-424 Inhibits Cell Migration, Invasion and Epithelial-Mesenchymal Transition in Human Glioma by Targeting KIF23 and Functions as a Novel Prognostic Predictor. European Review for Medical and Pharmacological Sciences, 22, 6369-6378.
[17] Takahashi, S., Fusaki, N., Ohta, S., Iwahori, Y., Iizuka, Y., Inagawa, K., et al. (2012) Downregulation of KIF23 Suppresses Glioma Proliferation. Journal of Neuro-Oncology, 106, 519-529. [Google Scholar] [CrossRef] [PubMed]
[18] Xu, Q., Li, X., Li, Y., Yu, J. and Yang, A. (2023) Kinesin Family Member 23 Knockdown Inhibits Cell Proliferation and Epithelial-Mesenchymal Transition in Esophageal Carcinoma by Inactivating the Wnt/β-Catenin Pathway. Functional & Integrative Genomics, 23, Article No. 154. [Google Scholar] [CrossRef] [PubMed]
[19] Saito, Y., Yin, D., Kubota, N., Wang, X., Filliol, A., Remotti, H., et al. (2023) A Therapeutically Targetable TAZ-TEAD2 Pathway Drives the Growth of Hepatocellular Carcinoma via ANLN and Kif23. Gastroenterology, 164, 1279-1292. [Google Scholar] [CrossRef] [PubMed]
[20] Zhuang, R. and Liu, H. (2024) Mechanism of Regulation of KIF23 on Endometrial Cancer Cell Growth and Apoptosis. Discover Oncology, 15, Article No. 83. [Google Scholar] [CrossRef] [PubMed]
[21] Liang, W., Liu, X., Huang, H., Gao, Z. and Li, K. (2020) Prognostic Significance of KIF23 Expression in Gastric Cancer. World Journal of Gastrointestinal Oncology, 12, 1104-1118. [Google Scholar] [CrossRef] [PubMed]
[22] Wu, Y., Chen, W., Miao, H. and Xu, T. (2024) SIRT7 Promotes the Proliferation and Migration of Anaplastic Thyroid Cancer Cells by Regulating the Desuccinylation of Kif23. BMC Cancer, 24, Article No. 210. [Google Scholar] [CrossRef] [PubMed]
[23] Kato, T., Lee, D., Wu, L., Patel, P., Young, A.J., Wada, H., et al. (2016) Kinesin Family Members KIF11 and KIF23 as Potential Therapeutic Targets in Malignant Pleural Mesothelioma. International Journal of Oncology, 49, 448-456. [Google Scholar] [CrossRef] [PubMed]
[24] 刘磊, 刘夏丞, 高永昌. CCNB1、KIF23作为骨肉瘤的核心生物标志物的探索研究[J]. 临床医学进展, 2024, 14(5): 162-177.
[25] Hu, H., Wang, P., Kong, Z., Yang, Y., Liu, S., Li, G., et al. (2026) KIF20A Drives Epithelial Cell Proliferation and Migration in Gastric Adenocarcinoma, Facilitating Macrophage M2 Polarization and Subsequent Immune Evasion. International Journal of Biological Macromolecules, 351, Article 150982. [Google Scholar] [CrossRef
[26] Liu, Y., Wang, Y., Tan, S., Shi, X., Wen, J., Chen, D., et al. (2025) Characterization of G2/M Checkpoint Classifier for Personalized Treatment in Uterine Corpus Endometrial Carcinoma. Cancer Cell International, 25, Article No. 34. [Google Scholar] [CrossRef] [PubMed]
[27] Li, Z., Yang, H., Zhang, X., Zhang, X., Huang, Y., Dai, X., et al. (2022) Kinesin Family Member 23, Regulated by FOXM1, Promotes Triple Negative Breast Cancer Progression via Activating Wnt/β-Catenin Pathway. Journal of Experimental & Clinical Cancer Research, 41, Article No. 168. [Google Scholar] [CrossRef] [PubMed]
[28] Ji, Z., Mi, A., Li, M., Li, Q. and Qin, C. (2021) Aberrant KIF23 Expression Is Associated with Adverse Clinical Outcome and Promotes Cellular Malignant Behavior through the Wnt/β-Catenin Signaling Pathway in Colorectal Cancer. Journal of Cancer, 12, 2030-2040. [Google Scholar] [CrossRef] [PubMed]
[29] Yao, B., Yang, D., Fu, C., Deng, S., Yang, L. and Tian, L. (2025) A Core Stemness-Associated Module Reveals PLK1, NUF2, KIF23, CDCA8, TOP2A, CENPF, AURKA, and ASPM as Key Genes in Rectal Cancer. European Journal of Medical Research, 31, Article No. 75. [Google Scholar] [CrossRef
[30] Chen, H., Xu, J., Huang, Q., Zhao, J., Hu, Y., Wang, C., et al. (2026) Kif23 Promotes Myocardial Fibrosis by Suppressing Ces1d-Dependent Lipid Metabolism. Hypertension, 83, 116-129. [Google Scholar] [CrossRef
[31] Li, X., Ji, Y., Song, R., Li, X. and Guo, L. (2019) KIF23 Promotes Gastric Cancer by Stimulating Cell Proliferation. Disease Markers, 2019, Article ID: 9751923. [Google Scholar] [CrossRef] [PubMed]
[32] Xu, J., Sang, N., Zhao, J., He, W., Zhang, N. and Li, X. (2022) Knockdown of Circ_0067934 Inhibits Gastric Cancer Cell Proliferation, Migration and Invasion via the Mir-1301-3p/KIF23 Axis. Molecular Medicine Reports, 25, Article No. 202. [Google Scholar] [CrossRef] [PubMed]
[33] Zhao, Z., Wang, Z., Bao, Z., Gao, W., Zhang, Y., Ruan, C., et al. (2021) Mutation and Copy Number Alterations Analysis of KIF23 in Glioma. Frontiers in Genetics, 12, Article ID: 646929. [Google Scholar] [CrossRef] [PubMed]
[34] Naher, S., Iemura, K., Miyashita, S., Hoshino, M., Tanaka, K., Niwa, S., et al. (2025) Kinesin-Like Motor Protein KIF23 Maintains Neural Stem and Progenitor Cell Pools in the Developing Cortex. The EMBO Journal, 44, 331-355. [Google Scholar] [CrossRef] [PubMed]