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Gremlin-2 (GREM2) is a secreted protein that acts as an antagonist of bone morphogenetic proteins (BMPs), particularly BMP2 and BMP4. It belongs to the DAN family of BMP antagonists, characterized by a C-terminal cystine knot motif. GREM2 modulates embryonic development, organogenesis, and tissue differentiation through direct inhibition of BMP signaling. Recent evidence has identified GREM2 as a tumor suppressor in breast cancer, reducing cell proliferation and migration by repressing BMP2-induced ID1 expression. GREM2 also attenuates post-infarct inflammation in the heart and regulates osteogenic differentiation. Its expression is associated with disease prognosis in several contexts, notably in certain cancers and dental disorders.
Acts by binding and neutralizing BMP2 and BMP4, preventing BMP signaling. Inhibits cell proliferation via antagonism of BMP2-ID1 axis in cancer.
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