Target intelligence / Profile preview

Calcium-dependent mitochondrial aspartate-glutamate carrier 2 (AGC2)

Target
AGC2
Molecular classification
Transporter, Mitochondrial carrier family, Solute carrier family 25
01

Overview

Aspartate-glutamate carrier 2 (AGC2), also known as citrin, is a calcium-dependent mitochondrial solute transporter encoded by the SLC25A13 gene (UniProt: Q96CQ1). It plays a critical role in the malate-aspartate shuttle, which facilitates the transfer of reducing equivalents from the cytosol to the mitochondria for oxidative phosphorylation (PubMed: 10441251). AGC2 is primarily expressed in the liver, heart, and kidneys, where it mediates the electrogenic exchange of mitochondrial aspartate for cytosolic glutamate and a proton (NCBI Gene: 10165). This transport process is essential for the urea cycle, gluconeogenesis, and protein synthesis. Mutations in the SLC25A13 gene lead to citrin deficiency, manifesting as neonatal intrahepatic cholestasis (NICCD) or adult-onset type II citrullinemia (CTLN2) (GeneReviews: NBK1181). While not a traditional target for inhibitory drugs, AGC2 is a focus for metabolic therapies and gene replacement strategies aimed at restoring transport function. Management typically involves dietary modifications, such as a low-carbohydrate, high-protein diet, and supplementation with arginine or sodium pyruvate to bypass metabolic blocks (PubMed: 31515104).

Other names
CitrinSolute carrier family 25 member 13SLC25A13Mitochondrial aspartate-glutamate carrier 2
02

Mechanism of action

Electrogenic exchange of mitochondrial aspartate for cytosolic glutamate plus a proton across the inner mitochondrial membrane, driven by the mitochondrial membrane potential.

03

Biological functions

Malate-aspartate shuttleUrea cycleGluconeogenesisMitochondrial transportCalcium-dependent transport
04

Disease associations

Citrullinemia type IINeonatal intrahepatic cholestasis caused by citrin deficiencyFailure to thrive and dyslipidemia caused by citrin deficiency
05

Safety considerations

Hyperammonemic encephalopathyMetabolic crisis triggered by high carbohydrate intakeRisk of steatohepatitisCerebral edema during acute decompensation
06

Interacting drugs

Arginine

2 more in the full profile.

07

Biomarkers

Plasma citrulline levelsBlood ammonia levelsThreonine-to-serine ratioSLC25A13 genetic mutationsPancreatic secretory trypsin inhibitor (PSTI)

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