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Hemicentin-2 is a large, evolutionarily conserved extracellular matrix glycoprotein that plays a crucial structural role in the organization and stabilization of diverse tissues and organs. It is structurally related to, but distinct from, the classic fibulin family, characterized by multiple immunoglobulin-like domains and a von Willebrand A (vWA) domain. Hemicentin-2 is secreted by epithelial cells, prominently at junctional interfaces such as the dermal–epidermal and myotendinous junctions, where it contributes to basement membrane linkage and proper tissue adhesion. In animal models, it is essential for successful cytokinesis, tissue fusion, and normal morphogenesis. Human genetic studies link HMCN2 variation to susceptibility to connective tissue disorders, certain forms of cardiac valve disease, and neurodegeneration, likely via its fundamental role in extracellular matrix composition and cell adhesion. No drugs currently target Hemicentin-2, and its biological mechanisms, while essential for developmental tissue stability, are incompletely understood.
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