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GRAM domain-containing protein 1A (GRAMD1A), also known as Protein Aster-A, is a mammalian cholesterol transporter localized primarily at the endoplasmic reticulum and plasma membrane contact sites[1][2][7]. GRAMD1A contains a GRAM domain that senses cholesterol and an ASTER/VASt domain that binds and transports cholesterol from the plasma membrane to the endoplasmic reticulum, supporting cellular cholesterol homeostasis[2][3][7]. It is ubiquitously expressed, with higher levels in the central nervous system[2]. GRAMD1A is essential for autophagosome biogenesis and regulates autophagy via its cholesterol transfer activity[1][4][6]. Upregulation of GRAMD1A is associated with poor prognosis and enhanced proliferation, migration, and invasion in multiple cancer types, including hepatocellular carcinoma and kidney cancer, often via STAT5 signaling pathways[6][11][12]. While no clinical drugs currently target GRAMD1A, the protein is considered both a promising diagnostic/prognostic biomarker and a potential therapeutic target in oncology and metabolic research[6][8][12].
Inhibition of cholesterol transfer by blocking GRAMD1A function (preclinical chemical tools only). Downregulation or knockdown suppresses proliferation, invasion, and migration of cancer cells through autophagy and cholesterol trafficking pathways.
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