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Semaphorin-3D (SEMA3D) is a secreted class III semaphorin involved in guiding neuronal and endothelial cell migration during embryonic development. It functions as a repulsive and/or attractive cue depending on tissue context, crucial for proper cardiovascular morphogenesis and axon guidance. SEMA3D signals primarily through PlexinD1 and Neuropilin-1 receptors, activating pathways that regulate actin cytoskeleton organization and cell–cell contacts. Genetic defects in SEMA3D are associated with congenital heart defects and anomalous vascular connections in both humans and experimental models. SEMA3D's role as a guidance molecule makes it a potential therapeutic target and biomarker in developmental disorders, although currently there are no approved drugs that target it directly.
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