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Endothelin-converting enzyme-like 1 (ECEL1) is a membrane-bound zinc metalloendopeptidase of the M13 family, expressed predominantly in the nervous system.[2][6] It participates in the degradation and inactivation of neuropeptides and peptide hormones, and mouse studies indicate it is critical for nervous regulation of the respiratory system. Mutations in ECEL1 cause autosomal recessive distal arthrogryposis type 5D, a congenital disorder affecting limb and thumb mobility, and are linked to defects in respiratory function at birth.[1][2][6] There are currently no drugs approved for direct targeting of ECEL1, nor is it used as a biomarker.
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