General Information of Drug Off-Target (DOT) (ID: OTO4M459)

DOT Name Low-density lipoprotein receptor-related protein 4 (LRP4)
Synonyms LRP-4; Multiple epidermal growth factor-like domains 7
Gene Name LRP4
Related Disease
Cenani-Lenz syndactyly syndrome ( )
Autoimmune disease ( )
Bone disease ( )
Congenital deformities of limbs ( )
Congenital myasthenic syndrome ( )
Congenital myasthenic syndrome 17 ( )
Hyperalphalipoproteinemia ( )
Neuromuscular disease ( )
Osteoporosis ( )
Thyroid gland papillary carcinoma ( )
Venous thromboembolism ( )
Amyotrophic lateral sclerosis ( )
Richter syndrome ( )
Small lymphocytic lymphoma ( )
Postsynaptic congenital myasthenic syndrome ( )
Sclerosteosis ( )
Advanced cancer ( )
Coffin-Lowry syndrome ( )
Microphthalmia ( )
Schizophrenia ( )
Sclerosteosis 2 ( )
Stroke ( )
Thyroid cancer ( )
Thyroid gland carcinoma ( )
Thyroid tumor ( )
UniProt ID
LRP4_HUMAN
3D Structure
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2D Sequence (FASTA)
Download
3D Structure (PDB)
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PDB ID
8S9P
Pfam ID
PF12662 ; PF14670 ; PF00057 ; PF00058
Sequence
MRRQWGALLLGALLCAHGLASSPECACGRSHFTCAVSALGECTCIPAQWQCDGDNDCGDH
SDEDGCILPTCSPLDFHCDNGKCIRRSWVCDGDNDCEDDSDEQDCPPRECEEDEFPCQNG
YCIRSLWHCDGDNDCGDNSDEQCDMRKCSDKEFRCSDGSCIAEHWYCDGDTDCKDGSDEE
NCPSAVPAPPCNLEEFQCAYGRCILDIYHCDGDDDCGDWSDESDCSSHQPCRSGEFMCDS
GLCINAGWRCDGDADCDDQSDERNCTTSMCTAEQFRCHSGRCVRLSWRCDGEDDCADNSD
EENCENTGSPQCALDQFLCWNGRCIGQRKLCNGVNDCGDNSDESPQQNCRPRTGEENCNV
NNGGCAQKCQMVRGAVQCTCHTGYRLTEDGHTCQDVNECAEEGYCSQGCTNSEGAFQCWC
ETGYELRPDRRSCKALGPEPVLLFANRIDIRQVLPHRSEYTLLLNNLENAIALDFHHRRE
LVFWSDVTLDRILRANLNGSNVEEVVSTGLESPGGLAVDWVHDKLYWTDSGTSRIEVANL
DGAHRKVLLWQNLEKPRAIALHPMEGTIYWTDWGNTPRIEASSMDGSGRRIIADTHLFWP
NGLTIDYAGRRMYWVDAKHHVIERANLDGSHRKAVISQGLPHPFAITVFEDSLYWTDWHT
KSINSANKFTGKNQEIIRNKLHFPMDIHTLHPQRQPAGKNRCGDNNGGCTHLCLPSGQNY
TCACPTGFRKISSHACAQSLDKFLLFARRMDIRRISFDTEDLSDDVIPLADVRSAVALDW
DSRDDHVYWTDVSTDTISRAKWDGTGQEVVVDTSLESPAGLAIDWVTNKLYWTDAGTDRI
EVANTDGSMRTVLIWENLDRPRDIVVEPMGGYMYWTDWGASPKIERAGMDASGRQVIISS
NLTWPNGLAIDYGSQRLYWADAGMKTIEFAGLDGSKRKVLIGSQLPHPFGLTLYGERIYW
TDWQTKSIQSADRLTGLDRETLQENLENLMDIHVFHRRRPPVSTPCAMENGGCSHLCLRS
PNPSGFSCTCPTGINLLSDGKTCSPGMNSFLIFARRIDIRMVSLDIPYFADVVVPINITM
KNTIAIGVDPQEGKVYWSDSTLHRISRANLDGSQHEDIITTGLQTTDGLAVDAIGRKVYW
TDTGTNRIEVGNLDGSMRKVLVWQNLDSPRAIVLYHEMGFMYWTDWGENAKLERSGMDGS
DRAVLINNNLGWPNGLTVDKASSQLLWADAHTERIEAADLNGANRHTLVSPVQHPYGLTL
LDSYIYWTDWQTRSIHRADKGTGSNVILVRSNLPGLMDMQAVDRAQPLGFNKCGSRNGGC
SHLCLPRPSGFSCACPTGIQLKGDGKTCDPSPETYLLFSSRGSIRRISLDTSDHTDVHVP
VPELNNVISLDYDSVDGKVYYTDVFLDVIRRADLNGSNMETVIGRGLKTTDGLAVDWVAR
NLYWTDTGRNTIEASRLDGSCRKVLINNSLDEPRAIAVFPRKGYLFWTDWGHIAKIERAN
LDGSERKVLINTDLGWPNGLTLDYDTRRIYWVDAHLDRIESADLNGKLRQVLVSHVSHPF
ALTQQDRWIYWTDWQTKSIQRVDKYSGRNKETVLANVEGLMDIIVVSPQRQTGTNACGVN
NGGCTHLCFARASDFVCACPDEPDSRPCSLVPGLVPPAPRATGMSEKSPVLPNTPPTTLY
SSTTRTRTSLEEVEGRCSERDARLGLCARSNDAVPAAPGEGLHISYAIGGLLSILLILVV
IAALMLYRHKKSKFTDPGMGNLTYSNPSYRTSTQEVKIEAIPKPAMYNQLCYKKEGGPDH
NYTKEKIKIVEGICLLSGDDAEWDDLKQLRSSRGGLLRDHVCMKTDTVSIQASSGSLDDT
ETEQLLQEEQSECSSVHTAATPERRGSLPDTGWKHERKLSSESQV
Function
Mediates SOST-dependent inhibition of bone formation. Functions as a specific facilitator of SOST-mediated inhibition of Wnt signaling. Plays a key role in the formation and the maintenance of the neuromuscular junction (NMJ), the synapse between motor neuron and skeletal muscle. Directly binds AGRIN and recruits it to the MUSK signaling complex. Mediates the AGRIN-induced phosphorylation of MUSK, the kinase of the complex. The activation of MUSK in myotubes induces the formation of NMJ by regulating different processes including the transcription of specific genes and the clustering of AChR in the postsynaptic membrane. Alternatively, may be involved in the negative regulation of the canonical Wnt signaling pathway, being able to antagonize the LRP6-mediated activation of this pathway. More generally, has been proposed to function as a cell surface endocytic receptor binding and internalizing extracellular ligands for degradation by lysosomes. May play an essential role in the process of digit differentiation.
Tissue Specificity Expressed in bone; present in osteoblasts and osteocytes. No expression is observed in osteoclast. Expressed in several regions of the brain.
Reactome Pathway
ECM proteoglycans (R-HSA-3000178 )

Molecular Interaction Atlas (MIA) of This DOT

25 Disease(s) Related to This DOT
Disease Name Disease ID Evidence Level Mode of Inheritance REF
Cenani-Lenz syndactyly syndrome DISHZEW1 Definitive Autosomal recessive [1]
Autoimmune disease DISORMTM Strong Biomarker [2]
Bone disease DISE1F82 Strong Biomarker [3]
Congenital deformities of limbs DISP4N1Q Strong Genetic Variation [4]
Congenital myasthenic syndrome DISJLG2T Strong Biomarker [5]
Congenital myasthenic syndrome 17 DISY2TGK Strong Autosomal recessive [6]
Hyperalphalipoproteinemia DISPUX00 Strong Biomarker [7]
Neuromuscular disease DISQTIJZ Strong Biomarker [8]
Osteoporosis DISF2JE0 Strong Genetic Variation [9]
Thyroid gland papillary carcinoma DIS48YMM Strong Biomarker [10]
Venous thromboembolism DISUR7CR Strong Genetic Variation [11]
Amyotrophic lateral sclerosis DISF7HVM moderate Biomarker [12]
Richter syndrome DISBX2TK moderate Genetic Variation [13]
Small lymphocytic lymphoma DIS30POX moderate Biomarker [13]
Postsynaptic congenital myasthenic syndrome DIS92VN2 Supportive Autosomal recessive [14]
Sclerosteosis DISB8RTM Supportive Autosomal recessive [15]
Advanced cancer DISAT1Z9 Limited Biomarker [16]
Coffin-Lowry syndrome DISMTBDA Limited Genetic Variation [17]
Microphthalmia DISGEBES Limited Altered Expression [18]
Schizophrenia DISSRV2N Limited Genetic Variation [19]
Sclerosteosis 2 DISVECXQ Limited Semidominant [20]
Stroke DISX6UHX Limited Altered Expression [21]
Thyroid cancer DIS3VLDH Limited Altered Expression [22]
Thyroid gland carcinoma DISMNGZ0 Limited Altered Expression [22]
Thyroid tumor DISLVKMD Limited Altered Expression [22]
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⏷ Show the Full List of 25 Disease(s)
Molecular Interaction Atlas (MIA) Jump to Detail Molecular Interaction Atlas of This DOT
18 Drug(s) Affected the Gene/Protein Processing of This DOT
Drug Name Drug ID Highest Status Interaction REF
Valproate DMCFE9I Approved Valproate increases the expression of Low-density lipoprotein receptor-related protein 4 (LRP4). [23]
Ciclosporin DMAZJFX Approved Ciclosporin decreases the expression of Low-density lipoprotein receptor-related protein 4 (LRP4). [24]
Tretinoin DM49DUI Approved Tretinoin decreases the expression of Low-density lipoprotein receptor-related protein 4 (LRP4). [25]
Acetaminophen DMUIE76 Approved Acetaminophen increases the expression of Low-density lipoprotein receptor-related protein 4 (LRP4). [26]
Cisplatin DMRHGI9 Approved Cisplatin increases the expression of Low-density lipoprotein receptor-related protein 4 (LRP4). [27]
Estradiol DMUNTE3 Approved Estradiol increases the expression of Low-density lipoprotein receptor-related protein 4 (LRP4). [28]
Arsenic trioxide DM61TA4 Approved Arsenic trioxide increases the expression of Low-density lipoprotein receptor-related protein 4 (LRP4). [30]
Calcitriol DM8ZVJ7 Approved Calcitriol decreases the expression of Low-density lipoprotein receptor-related protein 4 (LRP4). [31]
Vorinostat DMWMPD4 Approved Vorinostat increases the expression of Low-density lipoprotein receptor-related protein 4 (LRP4). [32]
Carbamazepine DMZOLBI Approved Carbamazepine affects the expression of Low-density lipoprotein receptor-related protein 4 (LRP4). [33]
Ethanol DMDRQZU Approved Ethanol increases the expression of Low-density lipoprotein receptor-related protein 4 (LRP4). [34]
Dihydrotestosterone DM3S8XC Phase 4 Dihydrotestosterone increases the expression of Low-density lipoprotein receptor-related protein 4 (LRP4). [35]
Leflunomide DMR8ONJ Phase 1 Trial Leflunomide increases the expression of Low-density lipoprotein receptor-related protein 4 (LRP4). [37]
THAPSIGARGIN DMDMQIE Preclinical THAPSIGARGIN decreases the expression of Low-density lipoprotein receptor-related protein 4 (LRP4). [39]
Bisphenol A DM2ZLD7 Investigative Bisphenol A increases the expression of Low-density lipoprotein receptor-related protein 4 (LRP4). [40]
Trichostatin A DM9C8NX Investigative Trichostatin A increases the expression of Low-density lipoprotein receptor-related protein 4 (LRP4). [41]
Milchsaure DM462BT Investigative Milchsaure decreases the expression of Low-density lipoprotein receptor-related protein 4 (LRP4). [42]
Deguelin DMXT7WG Investigative Deguelin increases the expression of Low-density lipoprotein receptor-related protein 4 (LRP4). [43]
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⏷ Show the Full List of 18 Drug(s)
3 Drug(s) Affected the Post-Translational Modifications of This DOT
Drug Name Drug ID Highest Status Interaction REF
Arsenic DMTL2Y1 Approved Arsenic affects the methylation of Low-density lipoprotein receptor-related protein 4 (LRP4). [29]
Benzo(a)pyrene DMN7J43 Phase 1 Benzo(a)pyrene affects the methylation of Low-density lipoprotein receptor-related protein 4 (LRP4). [36]
PMID28870136-Compound-52 DMFDERP Patented PMID28870136-Compound-52 decreases the phosphorylation of Low-density lipoprotein receptor-related protein 4 (LRP4). [38]
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References

1 Technical standards for the interpretation and reporting of constitutional copy-number variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics (ACMG) and the Clinical Genome Resource (ClinGen). Genet Med. 2020 Feb;22(2):245-257. doi: 10.1038/s41436-019-0686-8. Epub 2019 Nov 6.
2 Anti-AChR, MuSK, and LRP4 antibodies coexistence: A rare and distinct subtype of myasthenia gravis from Indian subcontinent.Clin Chim Acta. 2018 Nov;486:34-35. doi: 10.1016/j.cca.2018.07.011. Epub 2018 Jul 10.
3 LRP receptor family member associated bone disease.Rev Endocr Metab Disord. 2015 Jun;16(2):141-8. doi: 10.1007/s11154-015-9315-2.
4 Severe Cenani-Lenz syndrome caused by loss of LRP4 function.Am J Med Genet A. 2013 Jun;161A(6):1475-9. doi: 10.1002/ajmg.a.35920. Epub 2013 May 1.
5 Impaired Synaptic Development, Maintenance, and Neuromuscular Transmission in LRP4-Related Myasthenia.JAMA Neurol. 2015 Aug;72(8):889-96. doi: 10.1001/jamaneurol.2015.0853.
6 The Gene Curation Coalition: A global effort to harmonize gene-disease evidence resources. Genet Med. 2022 Aug;24(8):1732-1742. doi: 10.1016/j.gim.2022.04.017. Epub 2022 May 4.
7 Novel polymorphisms associated with hyperalphalipoproteinemia and apparent cardioprotection.J Clin Lipidol. 2018 Jan-Feb;12(1):110-115. doi: 10.1016/j.jacl.2017.10.021. Epub 2017 Nov 21.
8 Agrin-LRP4-MuSK signaling as a therapeutic target for myasthenia gravis and other neuromuscular disorders.Expert Opin Ther Targets. 2017 Oct;21(10):949-958. doi: 10.1080/14728222.2017.1369960. Epub 2017 Aug 24.
9 A common LRP4 haplotype is associated with bone mineral density and hip geometry in men-data from the Odense Androgen Study (OAS).Bone. 2013 Apr;53(2):414-20. doi: 10.1016/j.bone.2013.01.014. Epub 2013 Jan 13.
10 Identification of potential pathogenic candidates or diagnostic biomarkers in papillary thyroid carcinoma using expression and methylation profiles.Oncol Lett. 2019 Dec;18(6):6670-6678. doi: 10.3892/ol.2019.11059. Epub 2019 Nov 5.
11 Genomic and transcriptomic association studies identify 16 novel susceptibility loci for venous thromboembolism.Blood. 2019 Nov 7;134(19):1645-1657. doi: 10.1182/blood.2019000435.
12 Agrin and LRP4 antibodies as new biomarkers of myasthenia gravis.Ann N Y Acad Sci. 2018 Feb;1413(1):126-135. doi: 10.1111/nyas.13573. Epub 2018 Jan 28.
13 A variant of the LRP4 gene affects the risk of chronic lymphocytic leukaemia transformation to Richter syndrome.Br J Haematol. 2011 Feb;152(3):284-94. doi: 10.1111/j.1365-2141.2010.08482.x. Epub 2010 Dec 1.
14 LRP4 third -propeller domain mutations cause novel congenital myasthenia by compromising agrin-mediated MuSK signaling in a position-specific manner. Hum Mol Genet. 2014 Apr 1;23(7):1856-68. doi: 10.1093/hmg/ddt578. Epub 2013 Nov 13.
15 Bone overgrowth-associated mutations in the LRP4 gene impair sclerostin facilitator function. J Biol Chem. 2011 Jun 3;286(22):19489-500. doi: 10.1074/jbc.M110.190330. Epub 2011 Apr 6.
16 Agrin to YAP in Cancer and Neuromuscular Junctions.Trends Cancer. 2017 Apr;3(4):247-248. doi: 10.1016/j.trecan.2017.03.005. Epub 2017 Mar 28.
17 Cenani-Lenz syndactyly syndrome - a case report of a family with isolated syndactyly.BMC Med Genet. 2018 Jul 24;19(1):125. doi: 10.1186/s12881-018-0646-1.
18 Deletion of Lrp4 increases the incidence of microphthalmia.Biochem Biophys Res Commun. 2018 Nov 30;506(3):478-484. doi: 10.1016/j.bbrc.2018.10.062. Epub 2018 Oct 22.
19 Genome-wide association study of schizophrenia in Ashkenazi Jews.Am J Med Genet B Neuropsychiatr Genet. 2015 Dec;168(8):649-59. doi: 10.1002/ajmg.b.32349. Epub 2015 Jul 21.
20 Classification of Genes: Standardized Clinical Validity Assessment of Gene-Disease Associations Aids Diagnostic Exome Analysis and Reclassifications. Hum Mutat. 2017 May;38(5):600-608. doi: 10.1002/humu.23183. Epub 2017 Feb 13.
21 Astrocytic Lrp4 (Low-Density Lipoprotein Receptor-Related Protein 4) Contributes to Ischemia-Induced Brain Injury by Regulating ATP Release and Adenosine-A(2A)R (Adenosine A2A Receptor) Signaling.Stroke. 2018 Jan;49(1):165-174. doi: 10.1161/STROKEAHA.117.018115. Epub 2017 Dec 6.
22 LRP4 promotes proliferation, migration, and invasion in papillary thyroid cancer.Biochem Biophys Res Commun. 2018 Sep 3;503(1):257-263. doi: 10.1016/j.bbrc.2018.06.012. Epub 2018 Jun 11.
23 Human embryonic stem cell-derived test systems for developmental neurotoxicity: a transcriptomics approach. Arch Toxicol. 2013 Jan;87(1):123-43.
24 Integrating multiple omics to unravel mechanisms of Cyclosporin A induced hepatotoxicity in vitro. Toxicol In Vitro. 2015 Apr;29(3):489-501.
25 Phenotypic characterization of retinoic acid differentiated SH-SY5Y cells by transcriptional profiling. PLoS One. 2013 May 28;8(5):e63862.
26 Predictive toxicology using systemic biology and liver microfluidic "on chip" approaches: application to acetaminophen injury. Toxicol Appl Pharmacol. 2012 Mar 15;259(3):270-80.
27 Activation of AIFM2 enhances apoptosis of human lung cancer cells undergoing toxicological stress. Toxicol Lett. 2016 Sep 6;258:227-236.
28 17-Estradiol Activates HSF1 via MAPK Signaling in ER-Positive Breast Cancer Cells. Cancers (Basel). 2019 Oct 11;11(10):1533. doi: 10.3390/cancers11101533.
29 Prenatal arsenic exposure and the epigenome: identifying sites of 5-methylcytosine alterations that predict functional changes in gene expression in newborn cord blood and subsequent birth outcomes. Toxicol Sci. 2015 Jan;143(1):97-106. doi: 10.1093/toxsci/kfu210. Epub 2014 Oct 10.
30 Essential role of cell cycle regulatory genes p21 and p27 expression in inhibition of breast cancer cells by arsenic trioxide. Med Oncol. 2011 Dec;28(4):1225-54.
31 Identification of vitamin D3 target genes in human breast cancer tissue. J Steroid Biochem Mol Biol. 2016 Nov;164:90-97.
32 A transcriptome-based classifier to identify developmental toxicants by stem cell testing: design, validation and optimization for histone deacetylase inhibitors. Arch Toxicol. 2015 Sep;89(9):1599-618.
33 Gene Expression Regulation and Pathway Analysis After Valproic Acid and Carbamazepine Exposure in a Human Embryonic Stem Cell-Based Neurodevelopmental Toxicity Assay. Toxicol Sci. 2015 Aug;146(2):311-20. doi: 10.1093/toxsci/kfv094. Epub 2015 May 15.
34 Gene expression signatures after ethanol exposure in differentiating embryoid bodies. Toxicol In Vitro. 2018 Feb;46:66-76.
35 LSD1 activates a lethal prostate cancer gene network independently of its demethylase function. Proc Natl Acad Sci U S A. 2018 May 1;115(18):E4179-E4188.
36 Effect of aflatoxin B(1), benzo[a]pyrene, and methapyrilene on transcriptomic and epigenetic alterations in human liver HepaRG cells. Food Chem Toxicol. 2018 Nov;121:214-223. doi: 10.1016/j.fct.2018.08.034. Epub 2018 Aug 26.
37 Endoplasmic reticulum stress and MAPK signaling pathway activation underlie leflunomide-induced toxicity in HepG2 Cells. Toxicology. 2017 Dec 1;392:11-21.
38 Quantitative phosphoproteomics reveal cellular responses from caffeine, coumarin and quercetin in treated HepG2 cells. Toxicol Appl Pharmacol. 2022 Aug 15;449:116110. doi: 10.1016/j.taap.2022.116110. Epub 2022 Jun 7.
39 Endoplasmic reticulum stress impairs insulin signaling through mitochondrial damage in SH-SY5Y cells. Neurosignals. 2012;20(4):265-80.
40 Bisphenol A induces DSB-ATM-p53 signaling leading to cell cycle arrest, senescence, autophagy, stress response, and estrogen release in human fetal lung fibroblasts. Arch Toxicol. 2018 Apr;92(4):1453-1469.
41 From transient transcriptome responses to disturbed neurodevelopment: role of histone acetylation and methylation as epigenetic switch between reversible and irreversible drug effects. Arch Toxicol. 2014 Jul;88(7):1451-68.
42 Transcriptional profiling of lactic acid treated reconstructed human epidermis reveals pathways underlying stinging and itch. Toxicol In Vitro. 2019 Jun;57:164-173.
43 Neurotoxicity and underlying cellular changes of 21 mitochondrial respiratory chain inhibitors. Arch Toxicol. 2021 Feb;95(2):591-615. doi: 10.1007/s00204-020-02970-5. Epub 2021 Jan 29.