Target intelligence / Profile preview

Myocyte-specific enhancer factor 2A (MEF2A)

Target
MEF2A
Molecular classification
Transcription factor, MADS box family protein
01

Overview

Myocyte-specific enhancer factor 2A (MEF2A) is a DNA-binding transcription factor belonging to the MADS box family, essential for the regulation of muscle gene expression and development, as well as neuronal differentiation and maintenance[1][4][5]. MEF2A binds as a dimer—sometimes forming heterodimers with related MEF2 proteins—to regulatory sequences present in many muscle-specific and stress-responsive genes. It is central to pathways governing skeletal and cardiac muscle development, programmed cell death, and cytoskeletal organization. In humans, mutations in MEF2A are linked to autosomal dominant coronary artery disease and myocardial infarction[1][5]. MEF2A's diverse roles are mediated through its dynamic interactions with other transcription factors (such as STAT3), co-factors, and chromatin modifiers (notably HDACs), making it a nodal point in cell survival and stress responses, particularly in the heart and muscle. While not a direct therapeutic target as of 2024, altered MEF2A activity or expression is relevant for diseases including cardiovascular disease, cancer, and neurological disorders[3][4][5].

Other names
Myocyte-specific enhancer factor 2AMEF2AMEF2RSRFC4RSRFC9Serum response factor-like protein 1ADCAD1MADS box transcription enhancer factor 2 polypeptide A
02

Mechanism of action

Transcriptional regulation: MEF2A functions by binding to specific DNA sequences, activating or repressing transcription of target genes important for muscle and neuron function. Protein-protein interaction modulation: Interacts dynamically with partners such as HDACs (histone deacetylases), STAT3, and others, influencing cell survival, apoptosis, and differentiation.

03

Biological functions

Muscle cell differentiation (myogenesis)Regulation of cardiac and skeletal muscle developmentActivation of muscle-specific, growth factor-induced, and stress-induced genesNeuronal differentiation and survivalRegulation of cell growth, survival, and apoptosisRegulation of actin dynamics and cytoskeletal structure in muscle and neurons
04

Disease associations

Cardiovascular disease (notably autosomal dominant coronary artery disease and myocardial infarction)Cancer (particularly involved in hepatocellular carcinoma invasiveness)Neurodevelopmental and neurodegenerative disorders (through roles in neural differentiation and synaptic formation)Other (related to general roles in differentiation and response to cellular stress)
05

Safety considerations

Therapeutic targeting of MEF2A is challenging due to its critical roles in essential biological processes (muscle, cardiac, and neurological function): inhibiting MEF2A could lead to severe toxicity, heart failure, or impaired muscle/neuronal developmentGenetic variants can predispose individuals to premature coronary artery disease, so modulation must be approached with caution
06

Interacting drugs

p38 MAPK inhibitors (indirect modulation)

1 more in the full profile.

07

Biomarkers

Mutations or expression levels of MEF2A (or related genes/isoforms) can serve as biomarkers for coronary artery disease riskExpression levels in hepatocellular carcinoma tissue (potential marker for tumor aggressiveness)

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