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Keratin 19 pseudogene 1 (KRT19P1) is a non-functional pseudogene related to the KRT19 gene, which encodes the type I cytoskeletal protein keratin-19. Unlike functional keratin genes, KRT19P1 does not encode a protein. Its sequence similarity to KRT19 can result in cross-reactivity and misdetection in molecular diagnostic tests, especially those utilizing reverse transcriptase PCR for tumor cell identification, and this has been a recognized confounder in cancer biomarker research[1][2][7]. The actual keratin 19 protein (KRT19, CK19) is involved in cellular structure and is a proven cancer biomarker, but KRT19P1 should not be confused with the functional KRT19 gene/protein[1][4][7].
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