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Sorting nexin-14 (SNX14) is a member of the sorting nexin protein family characterized by a modified Phox (PX) domain and a regulator of G protein signaling (RGS) domain. Unlike other sorting nexins, SNX14’s PX domain does not directly bind phosphoinositide membranes, but instead organizes inter-organelle contact sites, especially between the endoplasmic reticulum and lipid droplets, supporting lipid metabolism and cellular homeostasis. SNX14 plays a crucial role in neuronal function, autophagosome clearance, and neural development, and its loss leads to lysosomal dysfunction, delayed autophagy, increased apoptosis, and neurodegeneration. Biallelic SNX14 mutations cause the pediatric-onset neurological disorder SCAR20, which is marked by cerebellar atrophy, ataxia, intellectual disability, and sometimes autistic features. Experimental studies are exploring SNX14’s potential roles in cancer biology via its circular RNA derivative (circSNX14), but it is not currently a direct therapeutic target.
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