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Pregnancy-specific beta-1-glycoprotein 9 (PSG9) is a heavily glycosylated, secreted member of the immunoglobulin superfamily, encoded by the PSG gene cluster and predominantly expressed in placental tissue. It contributes to fetal-maternal immune tolerance and maintenance of pregnancy. Pathologically, PSG9 is significantly upregulated in breast and colorectal tumors, functioning as a transcriptional target and amplifier of the canonical TGF-β/Smad pathway. PSG9 promotes cancer cell proliferation, migration, invasion, and angiogenesis by stabilizing Smad2, Smad3, and Smad4 proteins and regulating EMT-related genes. It is present in both cytoplasm and nucleus of target cells and directly interacts with Smad proteins. Clinically, PSG9 serves as a non-invasive plasma biomarker for early detection and prognosis of certain cancers, but no clinically approved therapeutic drugs target PSG9 to date[1][2][3][4][5].
Drugs theoretically targeting PSG9 would aim to block its role in stabilizing Smad proteins and activating TGF-β/Smad signaling, thereby inhibiting cancer cell growth, migration, and EMT
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