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Intracellular copper-binding proteins and ligands

Molecular classification
Chaperone, Metal-binding protein, Transporter, Ligand
01

Overview

Intracellular copper-binding proteins and ligands constitute a complex network responsible for maintaining copper homeostasis and preventing the toxicity of free copper ions (Source: PubMed PMID 24553174). This system includes copper chaperones such as Antioxidant 1 copper chaperone (ATOX1), Copper chaperone for superoxide dismutase (CCS), and Cytochrome c oxidase copper chaperone (COX17), which traffic copper to specific organelles or enzymes (Source: UniProt P55957, O14618). Additionally, storage proteins like metallothioneins and small-molecule ligands like glutathione play critical roles in sequestering and buffering the intracellular copper pool (Source: PubMed PMID 21333510). Dysregulation of this network is central to genetic disorders such as Wilson disease and Menkes disease, and it plays a significant role in cancer progression by supporting angiogenesis and oncogenic signaling (Source: NIH StatPearls NBK441990). Pharmacological intervention typically involves copper chelators like trientine and D-penicillamine to remove excess metal or ionophores like elesclomol to redistribute copper for pro-oxidant effects in cancer cells (Source: PubMed PMID 29305512). These therapies aim to restore copper balance or exploit the metal's redox activity for therapeutic benefit.

Other names
Copper chaperonesMetallochaperonesIntracellular copper poolCopper-binding proteins
02

Mechanism of action

Drugs targeting this system act through several mechanisms: chelators like trientine and D-penicillamine bind and facilitate the excretion of copper; zinc salts induce the synthesis of endogenous metallothioneins to sequester copper in intestinal cells; and copper ionophores like elesclomol increase intracellular copper to levels that induce oxidative stress and cell death in cancer cells (Source: PubMed PMID 29305512, NIH StatPearls NBK441990).

03

Biological functions

Copper homeostasisMetal ion transportRedox regulationEnzyme cofactor delivery
04

Disease associations

Wilson diseaseMenkes diseaseCancerNeurodegenerative diseaseAlzheimer's disease
05

Safety considerations

Systemic copper deficiency (anemia, neutropenia)Paradoxical neurological worseningNephrotoxicityHypersensitivity reactionsTeratogenicity
06

Interacting drugs

Trientine

4 more in the full profile.

07

Biomarkers

Serum ceruloplasmin24-hour urinary copper excretionNon-ceruloplasmin bound copper (NCC)Hepatic copper concentration

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