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Dynein axonemal assembly factor 2 (DNAAF2) is a highly conserved cytoplasmic protein essential for the pre-assembly of dynein arm complexes, which generate motile force in cilia and flagella. DNAAF2 facilitates the correct stabilization and formation of inner and outer axonemal dynein arms before their transport into the ciliary compartment, governing normal mucociliary clearance, left–right body asymmetry, and sperm motility. Loss-of-function mutations in DNAAF2 disrupt dynein arm assembly and ciliary motility, causing primary ciliary dyskinesia, characterized by chronic respiratory issues, defects in organ placement, and infertility. DNAAF2 belongs to the PIH1 family and its dysfunction highlights its therapeutic relevance for disorders of ciliary motility.
Not explicitly documented for drug intervention; theoretically, any therapy would restore DNAAF2's function in dynein arm pre-assembly
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