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Proline-rich acidic protein 1 (PRAP1) is a 17 kDa, 149-amino acid secreted, intrinsically disordered protein highly expressed in the gastrointestinal epithelium and present in other tissues such as epididymis and uterus. PRAP1 facilitates lipid absorption by directly binding triglycerides and phospholipids, acting in concert with MTTP to promote formation and secretion of apoB-containing lipoproteins (including chylomicrons and VLDL). PRAP1 is also implicated in protecting epithelial cells from apoptosis following irradiation, by limiting DNA damage responses and p21 expression in a p53-dependent manner. It interacts with the mitotic checkpoint protein MAD1, modulating cell cycle progression and has noted down-regulation in certain cancers such as hepatocellular carcinoma. PRAP1 orthologs are conserved in placental mammals and its absence or mutation in mice causes abnormal lipid absorption and increased intestinal length. PRAP1 is not an established pharmacological target and no drugs or clinical biomarkers directly involve PRAP1 at present.
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