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Anti-Müllerian hormone receptor type II (extracellular domain) (AMHR2 (ECD))

Target
AMHR2 (ECD)
Molecular classification
Receptor, Transmembrane serine/threonine kinase receptor (Type II receptor within TGF-β family)
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Overview

The extracellular domain of the Anti-Müllerian hormone receptor type II (AMHR2) mediates high-affinity binding of AMH, enabling AMH signaling that drives Müllerian duct regression (male sexual differentiation) and contributes to ovarian follicle regulation in females. AMHR2 belongs to the TGF-β family of serine/threonine kinase receptors and possesses a unique ligand-binding architecture characterized by a three-finger toxin fold, enabling specific interaction with its ligand, AMH. Upon ligand binding, AMHR2 (with its extracellular domain) triggers phosphorylation of type I receptors, activating SMAD transcription factors and downstream gene regulation essential for reproductive physiology. Dysfunction or mutations in AMHR2 lead to disorders such as persistent Müllerian duct syndrome and can contribute to infertility or abnormal sexual development. Therapeutically, AMHR2 is under investigation as a target for antibody-based interventions and as a diagnostic marker in reproductive medicine and oncology.

Other names
Müllerian-inhibiting substance type II receptorAMHR2Anti-Muellerian hormone type-2 receptor
02

Mechanism of action

Drugs or biologics targeting AMHR2 work via antagonism or agonism (blocking or mimicking AMH binding), potentially modulating downstream SMAD signaling and gene expression relevant to reproductive tract development, tumor biology, and fertility

03

Biological functions

Signal transduction (via SMAD pathway)Regulation of sexual differentiation (Müllerian duct regression)Regulation of folliculogenesis and reproductive tissue development
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Disease associations

Persistent Müllerian duct syndrome (PMDS)Polycystic ovary syndrome (PCOS)Disorders of sex development and infertilityCancer (association studied; diagnostic marker)
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Safety considerations

Off-target effects might impact normal reproductive or developmental processesPotential endocrine disruption, developmental abnormalities, and fertility issues with long-term or untargeted modulation
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Interacting drugs

No approved drugs directly targeting AMHR2 yet, but it is under investigation as a druggable target; research exists for antibodies and engineered ligands as therapeutics or diagnostics
07

Biomarkers

Serum AMH levels are an established biomarker for ovarian reserve, reproductive status, and some pathologiesAMHR2 expression can be used in research/clinical diagnostics for related reproductive disorders

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