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FAT atypical cadherin 3 (FAT3) is a very large, single-pass transmembrane protein and a member of the atypical cadherin superfamily, encoded by the FAT3 gene on chromosome 11q14.3-q21[1][3]. It contains multiple extracellular cadherin repeats, EGF-like, and laminin G-like domains, facilitating calcium-dependent cell adhesion[1]. FAT3 is highly expressed in the central nervous system, especially in developing and mature neurons, and plays roles in regulating neuronal morphology, dendritic differentiation, and microglial morphogenesis[2][3]. While less studied than FAT1 and FAT4, FAT3 has been implicated in cell signaling processes that influence cytoskeletal arrangements and cell adhesion, possibly through interactions with Ena/VASP proteins and by acting upstream of cell differentiation events[1][2]. Mutations or altered expression of FAT3 are associated with several diseases, notably certain cancers (such as ovarian and pancreatic cancer), neurodevelopmental disorders, and spinocerebellar ataxia 45[1][2][3]. FAT3’s large size and domain complexity make it a challenging but potentially significant therapeutic target and disease biomarker[1][3]. No direct drug interactions or therapeutics targeting FAT3 are currently approved or under advanced investigation.
Drugs targeting FAT3 would theoretically act by modulating cell adhesion, cytoskeletal organization, or cellular signaling pathways, but no such drugs are currently known or documented.
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