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Transmembrane and coiled-coil domains 1 (TMCO1) is an **endoplasmic reticulum (ER) transmembrane protein** that forms a **calcium load-activated calcium (CLAC) channel** to prevent excessive accumulation of calcium ions within the ER[1][3][4][5][6]. When ER calcium concentration rises above normal, TMCO1 oligomerizes into a tetramer, forming a selective calcium channel that releases excess Ca^2+ into the cytoplasm to protect cellular function and maintain ER calcium homeostasis[1][3][4][5][6]. TMCO1 is widely expressed and plays vital roles in embryonic development, neural and skeletal formation, and cellular signal transduction through regulation of intracellular calcium[3][5]. Mutations or loss of function in TMCO1 cause **cerebro-facio-thoracic dysplasia**, characterized by severe developmental delay, distinctive craniofacial features, and skeletal abnormalities, and are also genetic risk factors for **primary open-angle glaucoma**[1][3]. TMCO1 interacts within the ER protein biosynthesis machinery and may impact protein folding and membrane protein assembly, although these functions are less well defined[3]. No clinical drugs are currently known to target TMCO1, and the direct pharmacological modulation of this protein has not been described in the literature.
Not applicable (no drugs known to target TMCO1 directly as of current knowledge)
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