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Histidyl-tRNA synthetase 2, mitochondrial (HARS2), is an enzyme that catalyzes the ATP-dependent ligation of the amino acid histidine to its cognate tRNA (tRNA^His) within mitochondria[1][2][3][5]. This reaction is essential for mitochondrial protein synthesis, which, in turn, is critical for mitochondrial function and thus cellular energy production. HARS2 belongs to the class II family of aminoacyl-tRNA synthetases and is highly conserved among eukaryotes[1][4][5]. Human HARS2 gene mutations are associated with Perrault syndrome, a rare inherited disorder marked by sensorineural hearing loss in both sexes and ovarian dysgenesis in females[1][2][5]. Genetic testing for HARS2 is available and mutations serve as diagnostic biomarkers for Perrault syndrome[1][2]. No small molecule, biologic, or gene therapies targeting HARS2 are currently clinically available or in advanced development.
Not applicable (no current drugs approved to target HARS2) In theory, enzyme inhibitors or gene therapies could modulate function but none established
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