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ADAMTS-like protein 1 (ADAMTSL1), also known as punctin-1, is a "secreted extracellular matrix glycoprotein" and member of the ADAMTS–like family that lacks metalloproteinase and disintegrin-like domains but contains multiple thrombospondin type 1 repeats and immunoglobulin-like domains. It participates in extracellular matrix assembly and microfibril organization, with its function and proper secretion dependent on specific post-translational modifications, including C-mannosylation and O-fucosylation. Pathogenic variants in ADAMTSL1 can cause multisystem developmental disorders, with evidence suggesting roles in ocular, craniofacial, and various connective tissue manifestations. While the protein is involved in extracellular matrix biology, it is not an established therapeutic target such as a druggable receptor, enzyme, or transporter[1][2][3][4].
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