Target intelligence / Profile preview

Leber congenital amaurosis 5 protein (Lebercilin) (LCA5)

Target
LCA5
Molecular classification
Microtubule-associated protein (UniProt Q86W56) [1], Ciliary protein [1], Centrosomal protein [1]
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Overview

Leber congenital amaurosis 5 protein, also known as lebercilin, is a microtubule-associated protein essential for the structural integrity and function of retinal photoreceptor cells (UniProt Q86W56) [1]. It localizes specifically to the connecting cilium, where it facilitates the transport of critical proteins between the inner and outer segments via interaction with the intraflagellar transport (IFT) machinery (NCBI Gene: 167691) [2]. Mutations in the LCA5 gene lead to Leber congenital amaurosis type 5, a severe form of inherited retinal dystrophy characterized by early-onset vision loss and photoreceptor degeneration (PubMed: 17529973) [3]. Because the disease results from a loss-of-function mutation, LCA5 is a primary target for gene replacement therapies (PubMed: 21490444) [4]. Current clinical developments, such as ATSN-201, utilize adeno-associated virus (AAV) vectors to deliver a functional LCA5 gene directly to the subretinal space (Atsena Therapeutics) [5]. These therapies aim to restore protein trafficking and preserve or improve visual function in affected patients.

Other names
LebercilinC6orf152LCA5, leber congenital amaurosis 5Leber congenital amaurosis 5
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Mechanism of action

Gene replacement therapy via adeno-associated virus (AAV) vector delivery to provide a functional copy of the LCA5 gene to retinal photoreceptor cells (Atsena Therapeutics) [5].

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Biological functions

Intraflagellar transport (IFT) (NCBI Gene: 167691) [2]Protein trafficking between photoreceptor segments (PubMed: 21490444) [4]Ciliogenesis and ciliary maintenance (UniProt Q86W56) [1]
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Disease associations

Leber congenital amaurosis type 5 (PubMed: 17529973) [3]Retinitis pigmentosa (UniProt Q86W56) [1]Inherited retinal dystrophy [3]
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Safety considerations

Subretinal injection-related complications such as retinal detachment or hemorrhage (Atsena Therapeutics) [5]Intraocular inflammation or uveitis following viral vector administration [5]Potential for immune response against the AAV capsid or the transgene product [5]
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Interacting drugs

ATSN-201 (Atsena Therapeutics) [5]
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Biomarkers

Biallelic mutations in the LCA5 gene (PubMed: 17529973) [3]Visual acuity measurements [5]Full-field stimulus threshold (FST) (Atsena Therapeutics) [5]Optical coherence tomography (OCT) to assess retinal structure [5]

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