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Cell division cycle protein 73 homolog (CDC73)

Target
CDC73
Molecular classification
Transcription regulator (component of PAF1 complex), Tumor suppressor protein, RNA polymerase II-associated factor, Epigenetic modulator (regulator of histone methylation and ubiquitination), Other (involved in protein–protein interactions affecting cytoskeletal organization)
01

Overview

CDC73 (Cell division cycle protein 73 homolog), also known as parafibromin, is a nuclear protein encoded by the CDC73 gene and functions predominantly as a tumor suppressor by regulating gene transcription in association with the PAF1 complex and RNA polymerase II[1][2][3][4][5][6]. It modulates the expression of key cell cycle and oncogenic genes (such as c-Myc and cyclin D1) via epigenetic mechanisms (histone methylation and ubiquitination), and interacts with proteins essential for mRNA processing and cytoskeletal dynamics[1][2][4][5]. Germline or somatic mutations lead to tumor predisposition syndromes including hyperparathyroidism-jaw tumor syndrome (HPT-JT), familial isolated hyperparathyroidism, and various forms of carcinoma, making CDC73 a significant diagnostic biomarker and genetic risk factor for neoplasia[3][4][6]. Loss or mutation of parafibromin has profound clinical implications in calcium metabolism and bone diseases, and immunohistochemical parafibromin tests are widely used for tumor diagnosis[1][4][6]. No direct pharmacological therapies exist targeting CDC73 protein function.

Other names
ParafibrominHRPT2C1orf28Hyperparathyroidism 2 proteinFIHPHPTJTHRPT1HYXFamilial isolated hyperparathyroidism proteinPaf1/RNA polymerase II complex component
02

Mechanism of action

Mechanisms relevant to targeting parafibromin/CDC73 include restoration of tumor suppressor function or modulation of its regulatory interactions with oncogenic signaling pathways, such as Wnt/β-catenin[1][4]. However, no approved drug acts via these mechanisms on CDC73 directly.

03

Biological functions

Regulation of gene transcription and mRNA maturation[1][2][3][4][5][6]Tumor suppression (controls cell proliferation)[3][4][5][6]Epigenetic modification (histone methylation and ubiquitination)[1][2][4][5]RNA processingCytoskeletal organization[3][6]Cell cycle regulationApoptosis regulation[1][4]Cell proliferation[1][3][4][6]Transcriptional activation and repression of specific oncogenes and cell cycle genes[1][4]
04

Disease associations

Cancer (parathyroid carcinoma, oral squamous cell carcinoma, other solid tumors)[1][3][4][5][6]Hyperparathyroidism-jaw tumor syndrome (HPT-JT)[1][3][4][5][6]Familial isolated hyperparathyroidism[6]Bone metabolism disorders (osteoporosis, increased bone density in mouse models)[4][6]Other tumors (uterine, jaw, possibly others due to tumor suppressor function)[4][6]
05

Safety considerations

No specific safety concerns related to therapeutic targeting, as no direct drugs are established; however, loss of CDC73 function due to germline or somatic mutation results in increased risk for neoplasia and subsequent clinical complications (tumor formation, hypercalcemia)[4][6].
06

Interacting drugs

No specific small molecule drugs directly targeting CDC73/parafibromin are currently clinically approved or referenced in available literature. Therapies are largely surgical or supportive, although investigational approaches may exist (not widely documented in sources).
07

Biomarkers

CDC73 mutation or loss (for diagnosis and prognosis in HPT-JT, parathyroid carcinoma)[3][6]Parafibromin immunostaining (tumor diagnostic marker)[1][4][6]Loss of nuclear parafibromin (indicator of aggressive disease)[1]Other genetic markers associated with CDC73-related syndromes[6]

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