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Leucine-rich repeat LGI family member 2 (LGI2) is a secreted protein belonging to the LGI family, characterized by leucine-rich repeat and beta-propeller (EPTP/EAR) domains. LGI2 is predominantly expressed in neuronal tissues, particularly in regions involved in hippocampal rhythm generation and synaptic synchronization. It modulates synaptic transmission by acting as an extracellular organizer, and its proper secretion and folding are critical for maintaining inhibitory synapse function and balanced neuronal excitability. Disease-associated LGI2 mutations result in secretion deficits and abnormal retention in the endoplasmic reticulum, leading to epilepsy syndromes (notably familial partial epilepsy with pericentral spikes in humans and juvenile remitting epilepsy in dogs). LGI2 interacts with ADAM family proteins (ADAM11, and potentially ADAM22/ADAM23), contributing to synaptic maturation at specific developmental windows. While LGI2 itself is not directly targeted by approved drugs, its genetic variants serve as biomarkers for diagnosis and disease risk stratification.
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