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Procollagen-lysine, 2-oxoglutarate 5-dioxygenase 1 (PLOD1) is an essential enzyme involved in the hydroxylation of lysine residues in collagen and related proteins, a key post-translational modification required for stable intermolecular cross-linking and maturation of connective tissue structures[1][2][3][6]. PLOD1 is a membrane-bound homodimer primarily localized to the endoplasmic reticulum, requiring iron and ascorbate (vitamin C) cofactors for enzymatic activity[3][6]. Deficiency or mutations in PLOD1 result in decreased hydroxylysine formation, unstable collagen cross-linking, and manifestations of genetic diseases such as kyphoscoliotic type Ehlers-Danlos syndrome and familial thoracic aortic aneurysm/dissection[1][2][5]. Emerging research indicates that PLOD1 may participate in the regulation of actin cytoskeletal networks and support cancer cell migration and metastasis, notably in hepatocellular carcinoma[4]. Recent mechanistic insights also suggest minor glycosyltransferase activity by PLOD1, with potential impacts on extracellular matrix composition, though this function is considerably lower compared to homologous enzymes[5]. There are currently no known approved drugs directly targeting PLOD1, and therapeutic modulation carries notable risks due to its fundamental role in tissue stability.
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