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Xylosyltransferase 2 is an enzyme encoded by the *XYLT2* gene, responsible for catalyzing the transfer of xylose from UDP-xylose to specific serine residues in core proteins, thereby initiating the biosynthesis of glycosaminoglycan chains found in major proteoglycans such as chondroitin sulfate, heparan sulfate, heparin, and dermatan sulfate. This enzyme is ubiquitous and plays an essential role in proteoglycan formation and extracellular matrix composition. Mutations in this gene are implicated in spondyloocular syndrome and pseudoxanthoma elasticum, and increased activity in serum serves as a diagnostic marker for sclerotic activity in systemic sclerosis. Proteomic and biomarker studies suggest its activity is relevant across several connective tissue and metabolic diseases, with circulating levels influenced by platelet and liver function.
Not established for any approved drugs. Inhibition would reduce proteoglycan biosynthesis by preventing glycosaminoglycan chain initiation.
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