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Fibroblast growth factor 14 (FGF14) is an atypical member of the fibroblast growth factor family, functioning as an intracellular protein primarily expressed in the central nervous system[1][2][3][4]. Unlike canonical FGFs, FGF14 does not act through cell surface FGF receptors but instead interacts directly with the intracellular domains of voltage-gated sodium (Na\(_v\)) channels, regulating their gating, localization, and neuronal excitability[1]. It is required for synaptic transmission, synaptic plasticity, and neurogenesis, and plays a fundamental role in neuronal and cognitive functions[1][2][3]. Mutations or deletions in the FGF14 gene are associated with spinocerebellar ataxia type 27, episodic ataxia, and have been implicated in a spectrum of cognitive, affective, and motor disorders, including schizophrenia, depression, and Alzheimer’s disease[1][2][3][4]. FGF14 is sometimes referred to as fibroblast growth factor homologous factor 4 (FHF4), SCA27, or NYS4, reflecting its disease linkages and genetic locus. Currently, no drugs are clinically approved to target FGF14 directly, but its role as a regulator of ion channel function and neuronal signaling makes it a subject of ongoing research in neurobiology and neurotherapeutics[1][2][4].
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