Target intelligence / Profile preview

Lysosome-associated membrane protein 2B (LAMP-2B)

Target
LAMP-2B
Molecular classification
Lysosomal membrane glycoprotein, Transmembrane protein, Other
01

Overview

Lysosome-associated membrane protein 2B (LAMP-2B) is an isoform of the LAMP2 gene product, predominantly expressed in heart and skeletal muscle tissues, where it is required for the fusion of autophagosomes with lysosomes—a critical step in autophagic degradation and tissue homeostasis. Genetic defects in LAMP2, especially those impacting the LAMP-2B isoform, cause Danon disease, an X-linked disorder presenting with cardiomyopathy, skeletal myopathy, and intellectual disability. LAMP-2B is a validated gene therapy target; AAV9-mediated delivery of a functional LAMP2B gene (e.g., RP-A501) is under investigation in clinical trials to restore lysosomal function, improve cardiac structure and function, and halt disease progression in Danon disease patients.

Other names
LAMP2BLAMP-2 isoform BCD107bMac-3
02

Mechanism of action

Gene replacement therapy using AAV9-LAMP2B: Delivers a functional copy of the LAMP2B gene to restore normal protein expression in deficient cells, aiming to restore cardiac and skeletal muscle autophagy and lysosomal function

03

Biological functions

Autophagosome–lysosome fusionAutophagy regulationLysosomal material transportCardiac and skeletal muscle maintenanceOther
04

Disease associations

Cardiomyopathy (notably Danon disease)Skeletal myopathyOther (potential role in tumor cell metastasis)
05

Safety considerations

Immune response to viral vector (AAV9)Complement-mediated thrombotic microangiopathyGlucocorticoid-exacerbated skeletal myopathyPotential risk of heart failure progression in severe casesAcute kidney injury (rare adverse events reported in trials)
06

Interacting drugs

RP-A501 (AAV9.LAMP2B)
07

Biomarkers

LAMP2 protein expression in tissueCardiac biomarkers: troponin, N-terminal pro-B-type natriuretic peptideLeft ventricular mass indexOther cardiac function markers used in clinical trials

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