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Annexin A3: A Multifaceted Protein in Cellular Regulation and Disease

Endocrinology Diagnostics

Introduction:

  • Part of annexin protein group
  • Binds to phospholipids in calcium-dependent manner
  • 33kDa protein
  • Important in cellular functions
  • Serves as target and biomarker

Structure and Molecular Properties:

  • Contains four similar repeats (~70 amino acids each)
  • Has distinctive N-terminal section
  • Central domain contains calcium binding spots
  • N-terminal facilitates protein interactions
  • Undergoes post-translational modifications

Physiological Functions and Cellular Regulation:

  • Regulates:
    • Membrane traffic flow
    • Cell signaling
    • Exocytosis
  • Involved in:
    • Cellular stress response
    • Immune cell function
    • Inflammation
    • Cytoskeleton organization
    • Cell differentiation
    • Proliferation
    • Autophagy
    • Apoptotic processes

Role in Disease Pathogenesis:

  • Cancer:
    • Elevated in liver, pancreatic, lung cancers
    • Correlates with poor prognosis
    • Enhances tumor cell proliferation
    • Increases metastatic potential
    • Contributes to drug resistance
    • Promotes angiogenesis
  • Inflammatory Disorders:
    • Associated with arthritis
    • Linked to inflammatory bowel disease
    • Affects neutrophil movement/activation

Clinical Applications and Future Perspectives:

  • Diagnostic Biomarker:
    • Shows differential expression
    • Indicates disease progression
    • Monitors treatment response
  • Therapeutic Target:
    • Development of specific inhibitors
    • Combination therapy approaches
    • Novel drug delivery systems
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