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Ciliated left-right organizer metallopeptidase (CIROP) is a type 1 transmembrane zinc-metallopeptidase found at the cell surface, most expressed during early embryogenesis in the left-right organizer, with low but ubiquitous expression in adult tissues (highest in testis, thyroid, and lung)[1]. It is essential for proper establishment of left-right body axis during vertebrate development, with loss-of-function mutations resulting in visceral heterotaxy (situs ambiguus). The CIROP protein is 788 amino acids long, features a zinc binding motif characteristic of the peptidase M8 (leishmanolysin) family, and undergoes multiple post-translational modifications. Its main orthologs are present in most vertebrates except birds and most whales, indicating evolutionary essentiality in left-right patterning. CIROP interacts with other membrane proteins such as MKI67 and RNF225, which are involved in mitotic regulation and membrane functions. There are no known clinical drugs targeting CIROP, and its essential developmental role poses safety concerns for therapeutic manipulation[1][7][5][2].
Not applicable (no known drug ligands or inhibitors as of September 2025)
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