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Low-density lipoprotein receptor-related protein 2 mRNA (LRP2 mRNA)

Target
LRP2 mRNA
Molecular classification
Messenger RNA, Low-density lipoprotein (LDL) receptor family (encoded protein)
01

Overview

LRP2 mRNA encodes the low-density lipoprotein receptor-related protein 2, commonly known as megalin, which is a large transmembrane endocytic receptor predominantly expressed in the renal proximal tubule, brain, and other absorptive epithelia. As a therapeutic target, LRP2 mRNA is primarily addressed using RNA-based modalities such as small interfering RNAs (siRNAs) and antisense oligonucleotides (ASOs) to modulate the levels of the megalin protein. The encoded protein plays a critical role in the reabsorption of vitamins, hormones, and carrier proteins from the glomerular filtrate, but it also mediates the uptake of nephrotoxic agents like aminoglycosides and cisplatin. Targeting LRP2 mRNA for knockdown is being explored as a strategy to prevent drug-induced kidney injury and to treat certain cancers, such as prostate and breast cancer, where megalin overexpression facilitates the uptake of growth-promoting ligands like androgens. Conversely, loss-of-function mutations in the LRP2 gene result in Donnai-Barrow syndrome, a rare genetic disorder characterized by multi-organ developmental defects and proteinuria. While the megalin protein itself is often used as a delivery vehicle for other kidney-targeted RNA therapeutics, the LRP2 mRNA remains a specific target for silencing in conditions where reducing receptor activity is therapeutically beneficial.

Other names
Megalin mRNAgp330 mRNALRP-2 mRNAGlycoprotein 330 mRNADonnai-Barrow syndrome gene mRNA
02

Mechanism of action

RNA interference (siRNA-mediated degradation of mRNA) and antisense inhibition (ASO-mediated knockdown) to reduce the expression of the LRP2/megalin protein.

03

Biological functions

Protein translationEndocytosis (via encoded protein)Renal reabsorption (via encoded protein)Vitamin metabolism (via encoded protein)Signal transduction (via encoded protein)
04

Disease associations

Donnai-Barrow syndromeChronic kidney diseaseDrug-induced nephrotoxicityCancer (e.g., prostate, breast, and renal cancer)Alzheimer's diseaseHypoplastic left heart syndrome
05

Safety considerations

Systemic vitamin deficiency (A, D, E, K, and B12) due to impaired reabsorptionKidney dysfunctionDevelopmental defects (e.g., forebrain and ocular anomalies)OtotoxicityPotential for off-target effects in extra-renal tissues expressing LRP2
06

Interacting drugs

OSL245

5 more in the full profile.

07

Biomarkers

Urinary megalin (protein)LRP2 mRNA expression levels in tissueLow-molecular-weight proteinuriaVitamin D binding protein (DBP) levels

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