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Adenosylhomocysteinase-like 1 (AHCYL1), also known as IRBIT, is a multifunctional regulatory protein expressed widely in epithelial and neuronal cell types[1][2]. Although structurally similar to S-adenosylhomocysteine hydrolase, AHCYL1 lacks catalytic activity and instead functions as a modulator of intracellular signaling and epithelial transport[2]. The protein binds the inositol 1,4,5-trisphosphate receptor (ITPR1), regulating calcium signaling by competing with IP₃ and modulating Ca⁺² release from intracellular stores, thus influencing apoptosis and ion/fluid transport in epithelia[1][2]. AHCYL1/IRBIT also interacts with mRNA processing machinery to regulate polyadenylation and mRNA export, and serves as a regulator of cell cycle progression by controlling deoxyribonucleotide synthesis[1][2]. Dysregulation of AHCYL1 is implicated in diseases including certain cancers, notably where it forms an oncogenic fusion with FGFR2 in intrahepatic cholangiocarcinoma, a context in which FGFR inhibitors show therapeutic promise[1].
FGFR inhibitors block aberrant FGFR2-AHCYL1 fusion protein signaling in intrahepatic cholangiocarcinoma
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