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Armadillo repeat-containing protein 5 (ARMC5)

Target
ARMC5
Molecular classification
Other (specifically: armadillo/beta-catenin repeat superfamily protein), Ubiquitin ligase complex substrate recognition component, Tumor suppressor (functional category)
01

Overview

Armadillo repeat-containing protein 5 (ARMC5) is a cytosolic protein in the armadillo/beta-catenin repeat superfamily, notable for containing multiple ARM repeats and a BTB/POZ dimerization domain[1][2][5]. It acts as a substrate-recognition component of a specific E3 ubiquitin ligase complex, participating in the regulation of RNA polymerase II transcription and protein homeostasis[2]. ARMC5 is classified functionally as a tumor suppressor—biallelic inactivation causes or predisposes to primary bilateral macronodular adrenal hyperplasia and a familial tumor syndrome, leading to Cushing syndrome and increased risk of adrenal and meningeal tumors[4][6]. Beyond the adrenal system, it regulates T-cell survival, differentiation (Th1/Th17), and apoptosis, making it relevant for immune function[1]. Loss-of-function mutations are considered pathogenic and are a key biomarker for select adrenal diseases[3][6]. There are currently no known drugs directly targeting ARMC5, likely due to its role as a protein-protein interaction scaffold rather than an enzymatic target[2][5][3].

Other names
Armadillo repeat containing 5ARMC5FLJ13063AIMAH2
02

Biological functions

Regulation of cell proliferationPromotion of apoptosisRegulation of transcription (via RNA polymerase II ubiquitination)Regulation of steroidogenesisImmune system regulation (particularly T-cell function and differentiation)Regulation of adrenal gland growth and development
03

Disease associations

Cancer (notably adrenal cortical tumors and meningioma)Endocrine diseases (primary bilateral macronodular adrenal hyperplasia, Cushing syndrome, primary aldosteronism)Immune system dysregulationOther (potential role in hypertension and broader tumorigenesis)
04

Safety considerations

Genetic loss or inactivation causes increased risk of tumorigenesis (especially adrenal and possibly other neuroendocrine tumors)Immune system dysregulation (T-cell deficiencies, increased apoptosis)Complicated effects on steroid hormone levels and secondary metabolic syndrome (adrenal hyperplasia, cortisol excess)
05

Biomarkers

ARMC5 gene mutation status (for familial and sporadic bilateral macronodular adrenal hyperplasia, Cushing syndrome, possibly primary aldosteronism)

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