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Peroxisomal trans-2-enoyl-CoA reductase (PECR) is a member of the short chain dehydrogenase/reductase (SDR) superfamily, localized primarily in peroxisomes, and plays a critical role in fatty acid metabolism. PECR catalyzes the reduction of trans-2-enoyl-CoA substrates of various chain lengths (typically C6:1–C16:1) using NADPH, with maximum activity seen for decenoyl-CoA (C10:1). It is integral to the chain elongation of fatty acids and the final step of converting trans-phytenoyl-CoA to phytanoyl-CoA during phytol degradation. PECR has been linked via genetic mapping to lung function and respiratory phenotypes, implying functional consequences in lipid metabolism for pulmonary physiology. Beyond its peroxisomal role, PECR has non-canonical functions in the endoplasmic reticulum, where it binds directly to the SERCA2b calcium pump and inhibits its activity, thus impacting intracellular calcium homeostasis
Hypothetical mechanisms for any future drugs could include: - Enzyme inhibition or activation to modulate fatty acid metabolism - Targeting peroxisomal β-oxidation pathways
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