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Kinesin family member 21A (KIF21A) is a microtubule-dependent motor protein belonging to the kinesin-4 family. It plays a pivotal role in intracellular transport and cytoskeleton organization, especially in neurons where it regulates microtubule polymerization and axon outgrowth by inhibiting microtubule extension at the cell cortex. KIF21A is essential in neuronal development, glomerular filtration barrier function, and cellular organization. The protein’s dysfunction due to genetic mutations causes human diseases such as congenital fibrosis of extraocular muscles type 1 (CFEOM1) and is implicated in severe fetal akinesia. KIF21A operates through regulated motor activity—autoinhibited in its resting state and activated via intramolecular interactions and recruitment by partners such as KANK1 to specific cortical complexes. It has no established therapeutics directly targeting it, but genetic alterations serve as critical biomarkers for syndromic diagnoses.
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