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S100 calcium-binding protein A2 (S100A2), S100 calcium-binding protein A6 (S100A6), and S100 calcium-binding protein P (S100P) (S100A2/A6/P)

Target
S100A2/A6/P
Molecular classification
Calcium-binding protein, S100 protein family, EF-hand protein
01

Overview

S100A2, S100A6, and S100P are members of the S100 family of EF-hand calcium-binding proteins that play critical roles in calcium-dependent signal transduction [PMC2761571, PMC9819344, PMC9319044]. These proteins are often grouped together in pharmacological research due to their shared ability to interact with specific extracellular ligands, such as the Receptor for Advanced Glycation Endproducts (RAGE) and various four-helical cytokines including erythropoietin (EPO) and interferon-beta (IFN-beta) [Stern et al. 2011, Permyakov et al. 2022]. In many pathological conditions, particularly in cancers like non-small cell lung cancer (NSCLC) and pancreatic adenocarcinoma, these proteins are overexpressed and contribute to tumor cell proliferation, migration, and survival [PMC3220824, PMC9824544, NCBI Gene 6273]. They also modulate inflammatory responses and have been implicated in cardiovascular and neurodegenerative diseases [PMC9824544, PMC9819344, MDPI 2021]. Therapeutic strategies targeting this group involve small molecule inhibitors, such as cromolyn and certain anti-allergy drugs (e.g., amlexanox, tranilast), which block the interaction between S100 proteins and their downstream effectors [PMC2761571, Stern et al. 2011]. Additionally, their elevated levels in serum make them valuable diagnostic and prognostic biomarkers for monitoring disease progression and treatment efficacy [PMC9824544, NCBI Gene 6273, Permyakov et al. 2022].

Other names
S100A2 (CAN19)S100A6 (Calcyclin)S100PProtein S100-A2Protein S100-A6Protein S100-P2A95B10CABPCacyGrowth factor-inducible protein 2A9Prolactin receptor-associated protein (PRA)
02

Mechanism of action

Inhibition of S100-target protein interactions. These drugs bind to the hydrophobic pocket of S100 proteins (A2, A6, or P), preventing their interaction with downstream effectors such as RAGE, p53, or cytokines (EPO, IFN-beta), thereby blocking signaling pathways that promote tumor growth, metastasis, and inflammation [PMC2761571, Stern et al. 2011, Permyakov et al. 2022].

03

Biological functions

Signal transductionCell proliferationCell migrationApoptosisCalcium sensingCytokine modulation
04

Disease associations

CancerInflammationCardiovascular diseaseNeurodegenerative disease
05

Safety considerations

Off-target effects due to high structural homology among S100 family members [PMC2761571]Disruption of normal intracellular calcium signaling [PMC9819344]Potential systemic toxicity [PMC2761571]
06

Interacting drugs

Cromolyn

5 more in the full profile.

07

Biomarkers

Serum S100A2 level [PMC9824544, NCBI Gene 6273]Serum S100A6 level [PMC9824544, PMC9819344]Serum S100P level [PMC3220824, Permyakov et al. 2022]S100A2/A6 expression in non-small cell lung cancer (NSCLC) [PMC9824544, PMC9319044]

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