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FRAS1-related extracellular matrix protein 2 (FREM2) is an extracellular matrix protein essential for tissue morphogenesis and the structural integrity of various epithelial and mesenchymal tissues, particularly during embryonic development[1][4][5]. FREM2 is a calcium-binding protein and a structural component of the FRAS/FREM complex, which anchors the basement membrane and supports tissue cohesion[4]. Mutations in the FREM2 gene are a known cause of Fraser syndrome, leading to defects such as cryptophthalmos, syndactyly, and kidney abnormalities[4]. FREM2 is also implicated in neural tube and vascular development[1][5]. Recent studies indicate that the activation level of the FREM2 pathway serves as a robust diagnostic and prognostic biomarker in gliomas, including glioblastoma, where higher pathway activity correlates with disease aggressiveness and poor prognosis[2]. FREM2 is not classically considered a direct therapeutic target, and no drugs are known to directly interact with it.
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