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Ribosomal protein L5 (RPL5) is an essential structural constituent of the large 60S ribosomal subunit in eukaryotes[1][2][5]. RPL5 binds 5S rRNA to form the 5S ribonucleoprotein (RNP) complex, which is necessary for proper ribosome assembly and function—namely, facilitating protein synthesis within the cell[1][5][6]. Beyond its canonical role in translation and ribosome biogenesis, RPL5 exerts important extra-ribosomal functions. It can bind the oncoprotein MDM2 (alone or with RPL11), inhibit MDM2's ubiquitin ligase activity toward p53, and thereby regulate cell cycle arrest and apoptosis under nucleolar stress[1][3][5]. RPL5 also partners with RPL11 to promote c-Myc mRNA degradation, linking ribosome biogenesis to oncogene regulation and tumor suppression[1][4][5]. Mutations in RPL5 cause Diamond-Blackfan Anemia—a congenital bone marrow failure syndrome—and have been implicated in developmental abnormalities and potentially cancer[3][4][5]. No approved drugs currently directly target RPL5, but its unique regulatory roles in cellular stress responses and tumorigenesis are under investigation for future therapeutic applications.
Indirect: Drugs that disrupt ribosome assembly or induce nucleolar stress may increase ribosome-free RPL5, activating its tumor suppressor functions through p53 stabilization
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