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Mediator complex subunit 15 (MED15) is a general transcriptional coactivator and a member of the tail module within the multi-subunit Mediator complex[4][2]. It acts as a crucial bridge between transcriptional activators and the RNA polymerase II enzyme, conveying regulatory signals to enable or modulate gene expression[4][3]. MED15 contains prion-like domains with polyglutamine tracts, which give it the ability to undergo conformational changes, form protein aggregates, and possibly contribute to epigenetic regulation[2][3]. Its protein interaction domains (including multiple activator-binding domains and KIX domain) serve as binding sites for a wide array of transcription factors[3][4]. MED15 is conserved across eukaryotes, essential for normal cellular activities, and implicated in cell differentiation, stress response, and immunity, especially in model plants and yeasts[1][5]. In humans, MED15 is associated with regulatory events in lipid metabolism, cellular stress adaptation, and developmental signaling pathways[4][5]. Disturbances in its gene or protein aggregation behavior have potential implications in cancer, neurodegeneration, and genetic syndromes, but no drugs currently target MED15 directly.
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