Target intelligence / Profile preview

Integral membrane protein 2B (ITM2B)

Target
ITM2B
Molecular classification
Type II single-pass transmembrane protein, BRICHOS domain-containing protein, Amyloid precursor processing modulator, Other
01

Overview

Integral membrane protein 2B (ITM2B), also known as BRI2, is a ubiquitously expressed type II transmembrane glycoprotein encoded by the ITM2B gene on chromosome 13[1]. ITM2B plays a modulatory role in the processing of amyloid precursor protein (APP), reducing the production and aggregation of amyloid beta, a key pathogenic factor in Alzheimer's disease and related dementias. It is processed by several proteases, generating fragments with distinct intra- and extracellular functions, including Bri23, which prevents toxic amyloid aggregation[1][2][3]. Mutations in ITM2B underlie devastating inherited dementias such as Familial British and Danish dementias, and are associated with retinal degeneration and possibly other neurological conditions[1][4]. While its precise physiological functions remain incompletely defined, ITM2B is implicated in synaptic activity, neurite outgrowth, mitochondrial homeostasis, and regulated apoptosis, with possible involvement in wider neurodegenerative and tumor suppressive processes[1][2][3][4]. There are currently no approved drugs targeting ITM2B directly, but it is considered a research target for therapies aimed at modulating amyloidogenic pathways in neurodegeneration.

Other names
BRI2membrane formBRI2 intracellular domainBRI2Csoluble formBri23 peptideBRIimBRI2BrimBRI2BRI2 ICDBri2-23E25BE3-16BRICD2BImmature BRI2Protein E25BTransmembrane protein BRIMature BRI2ABri23C-terminal peptideP23 peptideBRICHOS domain containing 2BABRIFBDRDGCAABri/ADan amyloid peptideepididymis secretory sperm binding protein
02

Mechanism of action

Inhibiting amyloid-beta production by regulating APP cleavage and secretase access; Preventing aggregation of toxic amyloid oligomers (by Bri23 and related peptides)[1][3]

03

Biological functions

Inhibition of amyloid beta (Aβ) aggregation and depositionRegulation of amyloid precursor protein (APP) cleavageInduction of neurite outgrowthApoptosis induction (via BH3-like domain and p53-independent pathways)Mitochondrial function/modulationRegulation of synaptic transmission
04

Disease associations

Neurodegenerative disease (e.g., Alzheimer's disease)Familial British dementiaFamilial Danish dementiaRetinal dystrophyMultiple sclerosisTumor suppression (potential, not fully established)
05

Safety considerations

Loss-of-function or gain-of-function mutations associated with severe early-onset dementia, neurodegeneration, and visual impairment[1][4]Potential mitochondrial dysfunction and apoptosis if dysregulated[2]
06

Interacting drugs

No approved drugs that directly target ITM2B known as of the current literature. Potential for therapeutics targeting its pathway or fragments, under investigation[1][3].
07

Biomarkers

Mutant ITM2B (or associated peptides such as Bri2-23, ABri, ADan) in familial dementiasITM2B gene mutations (for Familial British/Danish dementia diagnosis)[1][4]

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