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P59 is a C5a receptor 2 (C5aR2)-specific agonist being investigated for its therapeutic potential in diabetic kidney disease (DKD). It functions by activating c-FOS nuclear translocation, which in turn upregulates phosphatidylserine synthase (PSS) expression. This process promotes the interaction between PSS and mitochondrial fusion protein 2 (MFN2), thereby facilitating mitochondria-associated ER membrane (MAM) formation and phosphatidylserine (PS) biosynthesis. These actions lead to improved mitochondrial and endoplasmic reticulum (ER) function, ultimately offering protective effects in DKD.
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