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Exostosin-like glycosyltransferase 2 (EXTL2) is a cytosolic and nuclear enzyme involved in the biosynthesis of heparan sulfate by catalyzing the incorporation of glucuronic acid and N-acetylglucosamine into glycosaminoglycan chains. It functions as a negative regulator of chondroitin sulfate proteoglycan synthesis, controlling extracellular matrix composition and inflammatory responses, particularly in neural injury settings such as demyelination. Genetic variants within the EXTL2 locus are significantly associated with susceptibility to multiple sclerosis, highlighting its role in neuroinflammatory disease. EXTL2 is classified as a glycosyltransferase but does not currently have known direct pharmacological inhibitors or modulators approved for clinical use.
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