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Cone-rod homeobox protein (CRX) is a critical K50 homeodomain transcription factor predominantly expressed in retinal photoreceptors—rods and cones. It binds to specific DNA motifs (e.g., TAATC[CA]) upstream of photoreceptor-specific genes to regulate their transcription. CRX is required for the differentiation and lifelong maintenance of photoreceptor neurons. Loss-of-function mutations in CRX cause blinding retinal diseases including retinitis pigmentosa, cone-rod dystrophy, and Leber congenital amaurosis. While its homeodomain structure has been characterized as a globular DNA-binding module, the protein also contains a flexible activation domain. CRX is an essential regulator of retinal development, and its dysfunction leads to failure of photoreceptor maturation or maintenance
No small molecule or biologic therapies with defined mechanism of action for CRX itself; the molecule acts as a transcription factor binding DNA to regulate gene expression
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