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Dynein cytoplasmic 2 heavy chain 1 (DYNC2H1) is a large ATPase and microtubule-based motor protein that forms the heavy chain of the cytoplasmic dynein-2 complex. This complex is essential for retrograde intraflagellar transport (IFT) within cilia, moving cargo from the tip to the base. DYNC2H1 plays a crucial role in the assembly, maintenance, and function of cilia, being directly involved in several key cellular signaling pathways, including the Sonic Hedgehog pathway, which is essential for skeletal development and organogenesis. Mutations in DYNC2H1 cause a range of inherited disorders classified as skeletal ciliopathies, most notably short-rib thoracic dysplasia with or without polydactyly, asphyxiating thoracic dystrophy, and various types of short-rib polydactyly syndromes. Disease phenotypes arise from defective retrograde ciliary transport, leading to abnormal signaling and cellular development. DYNC2H1 is not currently a target for approved therapeutic drugs, though it is considered a diagnostic marker through genetic testing for ciliary disorders
no targeted drugs; disease association is loss-of-function/missense pathogenicity
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