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R-spondin 2 (RSPO2) is a secreted regulatory protein that amplifies Wnt/β-catenin signaling by binding LGR4/5/6 receptors and inhibiting the negative regulators ZNRF3 and RNF43, increasing membrane Wnt receptors and promoting downstream transcription of Wnt target genes. RSPO2 is essential for embryonic development, including limb, craniofacial, and lung morphogenesis, and plays significant roles in stem cell biology and cancer pathogenesis. Aberrant RSPO2 activity, mutations, or gene fusions can drive malignancies, particularly colorectal cancer, and lead to severe developmental syndromes when disrupted. As a master regulator of Wnt signaling with developmental and oncogenic impact, RSPO2 is a focus for diagnostic, prognostic, and therapeutic approaches in oncology and regenerative medicine.
Agonism: RSPO2 binds LGR4/5/6, potentiates Wnt/β-catenin signaling by preventing ZNRF3/RNF43-mediated receptor degradation. Antagonism: Inhibitor peptides block RSPO2 function, attenuating Wnt or BMP signaling (RW dendrimer for AML). BMP receptor antagonism: Binding to BMPR1A, impacting BMP signaling.
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