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Zinc-alpha-2-glycoprotein (AZGP1) is a secreted glycoprotein structurally related to major histocompatibility complex class I molecules but lacking transmembrane and cytoplasmic domains[1][2][5]. It is a 38–41 kDa protein present in most body fluids and tissues and is best known for stimulating lipolysis in adipose tissue, serving as a lipid-mobilizing factor, and regulating energy homeostasis and insulin sensitivity[1][2][4]. AZGP1 plays complex roles in tumor biology: it is often downregulated in various cancers (prostate, gastric, liver, pancreatic) where it acts as a tumor suppressor, but its function can vary by cancer type, with high levels linked to worse prognosis in colon cancer. It is actively studied as a biomarker for prognosis and disease monitoring, but there are currently no approved drugs targeting AZGP1 directly[1][3][4][6][7].
Not applicable (no drugs directly target AZGP1 with a known mechanism, but AZGP1 acts via β3-adrenoceptor activation and lipid mobilization pathways)
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