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Anthrax toxin receptor 2 (ANTXR2), commonly known as Capillary morphogenesis gene 2 (CMG2), is a type I transmembrane protein that serves as the primary cell-surface receptor for the anthrax toxin. It facilitates the entry of the toxin's protective antigen (PA) into host cells through a clathrin-dependent endocytic pathway. Beyond its role in pathogenesis, CMG2 is a critical regulator of extracellular matrix (ECM) homeostasis, particularly in the lysosomal degradation of collagen VI. Loss-of-function mutations in the ANTXR2 gene are the underlying cause of Hyaline Fibromatosis Syndrome (HFS), a rare and severe genetic disorder characterized by the systemic accumulation of hyaline material. In the context of oncology, CMG2 is highly expressed in tumor-associated endothelial cells and is essential for growth factor-induced angiogenesis and endothelial cell chemotaxis. Consequently, CMG2 has emerged as a therapeutic target for both anthrax antitoxin development and anti-angiogenic cancer treatments. Current research explores the use of soluble receptor decoys, inhibitory peptides, and DARPins to modulate its activity in disease states.
Receptor antagonism, Decoy receptor binding, Inhibition of endothelial cell chemotaxis, Proteasome-mediated rescue of mutant protein folding
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