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Sacsin molecular chaperone (SACS) is a large, multidomain protein highly expressed in neurons—especially Purkinje cells in the cerebellum—and present in skin and muscle[1][2][3][4]. Structurally, sacsin contains a ubiquitin-like (UbL) domain at the N-terminus, a J-domain homologous to Hsp40 co-chaperones, regions with Hsp90-like ATPase folds, and a C-terminal HEPN domain capable of nucleotide binding[1][2]. Sacsin acts as a co-chaperone, integrating Hsp70 chaperone function and ubiquitin-proteasome degradation, and is essential for protein homeostasis, cytoskeletal integrity, and mitochondrial network organization[1][2][4]. Loss or mutation of sacsin causes ARSACS, a severe neurodegenerative disorder characterized by early-onset spastic ataxia, peripheral neuropathy, and progressive cerebellar dysfunction, due to abnormal cytoskeletal aggregation (notably neurofilament bundling) and possible mitochondrial dysfunction[3][4]. No small molecule therapeutics or interventions targeting SACS are currently known.
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