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GFRAL is the primary high-affinity receptor for GDF15, a cytokine involved in appetite suppression and energy homeostasis. GFRAL is expressed predominantly in the area postrema and nucleus tractus solitarius of the brainstem. Upon binding GDF15, GFRAL forms a complex with the co-receptor RET, activating downstream signaling pathways. Targeting the GDF15/GFRAL interaction is being explored as a therapeutic strategy for obesity and cancer-related cachexia. Some effects of GDF15 may be mediated independently of GFRAL or through other receptors such as TGF-beta type II/type I receptors or EGFR2.
Currently, under research, small molecules or antibodies that can block the GDF15/GFRAL axis for therapeutic benefit by mimicking/suppressing this pathway to modulate appetite or inhibiting excessive pathway activation seen in chronic disease states like cancer.
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