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Metallothionein-2A (MT2A) is a small, cysteine-rich, non-enzymatic protein that binds divalent heavy metal ions (such as zinc and copper) through thiol groups, regulating their distribution and detoxification in human cells. MT2A acts as an antioxidant, modulates cell survival pathways, and participates in regulation of apoptosis and proliferation, particularly in stress response and cancer. Its expression is transcriptionally controlled by metal exposure and certain hormones, and genetic variants can influence disease susceptibility. MT2A is a member of the vertebrate metallothionein family, widely expressed and functionally pivotal in metal homeostasis, oxidative stress defense, and the pathogenesis of several diseases including cancer, cardiovascular disease, diabetes, and renal dysfunction.
Drugs or xenobiotics (e.g. heavy metals, glucocorticoids) induce MT2A gene expression via metal-responsive transcription factors and receptors (e.g., aryl hydrocarbon receptor, glucocorticoid receptor), leading to increased sequestration of metals and cytoprotection
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