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Leucine-rich repeat kinase 2 (LRRK2) G2019S mutant (LRRK2 G2019S)

Target
LRRK2 G2019S
Molecular classification
Enzyme, Kinase, Serine/threonine-protein kinase, GTPase
01

Overview

Leucine-rich repeat kinase 2 (LRRK2) is a large, multi-domain protein that functions as both a GTPase and a serine/threonine-protein kinase (UniProt Q5S007). The G2019S mutation, located within the kinase domain's activation loop, is the most prevalent genetic cause of Parkinson's disease, contributing to both familial and sporadic cases (PMID: 15514145). This mutation induces a gain-of-function by significantly increasing the enzyme's catalytic activity, which leads to the hyperphosphorylation of Rab GTPase substrates like Rab10 (PMID: 26824392). Such aberrant signaling disrupts essential cellular processes, including vesicular trafficking, lysosomal homeostasis, and autophagy, which are critical for maintaining neuronal health (PMID: 30639476). Consequently, the LRRK2 G2019S mutant kinase domain is a high-priority therapeutic target, with several small-molecule inhibitors currently in clinical development (PMID: 32029618). These drugs aim to restore normal cellular function by potently and selectively inhibiting the mutant kinase activity, although monitoring for potential pulmonary and renal side effects remains a key challenge in clinical translation (PMID: 25459545).

Other names
DardarinPARK8RIPK7ROCO2Leucine-rich repeat serine/threonine-protein kinase 2
02

Mechanism of action

Kinase inhibition (ATP-competitive inhibition)

03

Biological functions

Vesicular trafficking (PMID: 26824392)Autophagy (PMID: 30639476)Lysosomal function (PMID: 30639476)Protein phosphorylation (UniProt Q5S007)Immune response (PMID: 28430804)Cytoskeletal dynamics (PMID: 25459545)
04

Disease associations

Parkinson's disease (PMID: 15514145)Neurodegenerative disease (PMID: 30639476)Crohn's disease (PMID: 21102463)Leprosy (PMID: 20018873)
05

Safety considerations

Lung toxicity (Type II pneumocyte hypertrophy/vacuolation) (PMID: 25459545)Kidney toxicity (lysosomal morphology changes) (PMID: 25459545)Blood-brain barrier penetration requirements for CNS efficacy
06

Interacting drugs

BIIB122 (DNL151)

6 more in the full profile.

07

Biomarkers

Phospho-Rab10 (pRab10) (PMID: 26824392)Phospho-S935 LRRK2 (PMID: 20624928)Urinary bis(monoacylglycero)phosphate (BMP) (PMID: 30215180)

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