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Hydroxysteroid dehydrogenase-like protein 2 (HSDL2) is an evolutionarily conserved enzyme belonging to the short-chain dehydrogenase/reductase (SDR) family, characterized by an N-terminal SDR domain and a C-terminal sterol carrier protein 2 (SCP2) domain[1][2][4]. It is primarily localized to mitochondria and peroxisomes, where it regulates lipid metabolic processes, including fatty acid synthesis, β-oxidation, and cholesterol homeostasis[1][2]. HSDL2 is involved in the conversion of cholesterol to bile acids and influences activation of the nuclear bile acid receptor FXR, linking nutritional cues (e.g., fasting/feeding) to metabolic responses[2]. Overexpression or dysregulation of HSDL2 has been implicated in enhanced proliferation, migration, and survival in several cancers, such as papillary thyroid carcinoma and glioma, highlighting its dual role as both a metabolic regulator and a potential oncogene in tumorigenesis[1][3][4]. Its expression and functional impact are context-dependent across tissues, and it is under investigation as both a prognostic biomarker and a therapeutic target[1][3]. Currently, no specific drugs are listed as direct HSDL2 inhibitors or modulators, and its full clinical therapeutic profile remains under investigation.
Modulation of lipid and cholesterol metabolism Regulation of cholesterol conversion to bile acids Influence on FXR (Farnesoid X receptor) activation and associated signaling pathways Potential modulation of AKT-associated signaling (in cancer)
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