What Are Centromere Proteins (CENP) and Their Role in Health?

Centromere Proteins (CENPs) are specialized molecules that govern the division of nearly every cell in the human body. They are the architects of the centromere, a physical and functional region on every chromosome. Errors in the regulation and function of CENPs are strongly implicated in the development and progression of many human diseases. Understanding their role is foundational to comprehending both normal cellular function and the origins of serious health conditions.

The Centromere and Kinetochore Machinery

The centromere is the constricted region of a chromosome, defined not by a specific DNA sequence but by a unique protein complex. The foundation of this region is Centromere Protein A (CENP-A), a variant of the standard histone H3 protein. CENP-A replaces histone H3 in the nucleosomes at this site, acting as an epigenetic mark that dictates the centromere’s location. This CENP-A-rich chromatin serves as the platform for the assembly of the kinetochore, a massive, multi-layered protein structure.

The kinetochore is the physical link between the chromosome and the machinery that pulls chromosomes apart during cell division. It is organized into two main domains: the inner kinetochore and the outer kinetochore. The inner layer, known as the Constitutive Centromere-Associated Network (CCAN), includes numerous CENPs (CENP-C, CENP-T, and CENP-I) that are present throughout the cell cycle. This CCAN forms a direct physical link to the CENP-A chromatin and is responsible for recruiting the outer kinetochore components during mitosis.

The KMN network constitutes the outer kinetochore domain. This network acts as the primary docking station, providing the interface for attaching to the spindle microtubules. CENP-B is another member of the family, which binds to a specific 17-base-pair DNA sequence within the centromeric region, contributing to centromere formation and maintenance. The organization of these CENPs ensures that the correct site is established for chromosome movement.

Essential Role in Accurate Cell Division

The primary function of the kinetochore is to ensure the precise distribution of duplicated chromosomes between the daughter cells. During mitosis, the spindle microtubules, which are dynamic protein fibers, must physically connect to the kinetochore. This attachment process is highly regulated and must result in a bipolar orientation, where the sister kinetochores attach to microtubules originating from opposite poles of the cell.

The Ndc80 complex within the KMN network directly grips the end of the spindle microtubules. Other CENPs, such as the motor protein CENP-E, actively help move the chromosomes to the center of the cell, aligning them along the metaphase plate. CENP-E’s kinesin-like motor activity is necessary for establishing and maintaining the tension required for proper alignment. This tension is a physical signal validating the correct bipolar attachment.

This complex attachment process is constantly monitored by the Spindle Assembly Checkpoint (SAC), a cellular surveillance mechanism that prevents the cell from dividing until all chromosomes are correctly aligned. CENP-I, for instance, is involved in regulating this checkpoint, ensuring that cell division only proceeds when the attachments are error-free. Failure in any step of this process results in a cell receiving an abnormal number of chromosomes, a condition known as aneuploidy.

CENP Dysfunction and Genomic Instability

Errors in CENP function or expression are a direct cause of genomic instability, characterized by a high frequency of changes in the cell’s genetic material. A primary example is the frequent overexpression of CENP-A observed in many human cancers, including colon, breast, and lung tumors. When CENP-A is produced in excess, it can be mistakenly deposited outside the centromere, spreading along the chromosome arms.

This mislocalization of CENP-A creates non-functional, ectopic kinetochore sites prone to errors during cell division. The resulting defective assembly leads to a high rate of chromosome missegregation, characterized by lagging chromosomes and the formation of micronuclei (small, secondary nuclei containing lost chromosomes). The resulting aneuploidy is a hallmark of nearly all solid tumors and drives tumor initiation and progression.

Beyond segregation errors, some CENPs are also involved in DNA repair pathways, and their dysfunction further compromises genome integrity. The loss of CENP-I, a CCAN component, has been shown to impair the homologous recombination pathway, a mechanism for repairing double-strand DNA breaks. This failure in DNA repair, coupled with chromosome missegregation, significantly increases chromosomal aberrations within the cell. Mutations in genes like CENPE have also been linked to severe developmental disorders, such as primary microcephaly, underscoring the protein’s role in accurate cell division and brain development.

Therapeutic and Diagnostic Potential

The frequent alteration of CENPs in disease, particularly cancer, positions them as promising targets for both diagnostic and therapeutic applications. The overexpression of CENP-A, CENP-I, CENP-E, and CENP-F is associated with a poor prognosis and increased tumor aggressiveness across many cancer types, including adrenocortical carcinoma and liposarcoma. Measuring the expression levels of these specific CENPs can serve as a valuable diagnostic biomarker to predict the stage and progression of a patient’s disease.

The subnuclear localization pattern of CENP-A can also be used as a prognostic marker, predicting a patient’s response to chemoradiation therapy in certain head and neck cancers. This suggests that the spatial arrangement of the protein within the nucleus holds information about tumor biology independent of expression level. Researchers are actively developing anti-cancer drugs that specifically target the function of overexpressed CENPs, such as inhibitors for CENP-E, to selectively disrupt the cell division of rapidly proliferating tumor cells. By exploiting the CENP dependency of many cancers, scientists aim to create therapies that halt the unchecked growth of malignant cells while sparing healthy tissue.