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EN2
Identifiers
Aliases	EN2, engrailed homeobox 2
External IDs	OMIM: 131310; MGI: 95390; HomoloGene: 55579; GeneCards: EN2; OMA:EN2 - orthologs
Gene location (Human) Chr. Chromosome 7 (human) Band 7q36.3 Start 155,458,129 bp End 155,464,831 bp
Gene location (Mouse) Chr. Chromosome 5 (mouse) Band 5 B1|5 13.94 cM Start 28,370,692 bp End 28,377,164 bp
RNA expression pattern Bgee Human Mouse (ortholog) Top expressed in cerebellar cortex cerebellar hemisphere right hemisphere of cerebellum cerebellar vermis paraflocculus of cerebellum muscle of thigh substantia nigra endometrium gastrocnemius muscle left ovary Top expressed in lobe of cerebellum cerebellar vermis pineal gland rhombic lip substantia nigra choroid plexus of fourth ventricle inferior colliculi lumbar subsegment of spinal cord molecular layer of cerebellar cortex central gray substance of midbrain More reference expression data BioGPS More reference expression data
Gene ontology Molecular function sequence-specific DNA binding DNA binding DNA-binding transcription factor activity, RNA polymerase II-specific Cellular component membrane nucleus fibrillar center nucleolus RSC-type complex Biological process negative regulation of neuron apoptotic process multicellular organism development hindbrain development neuron development embryonic brain development regulation of transcription, DNA-templated midbrain development positive regulation of transcription by RNA polymerase II neuron differentiation regulation of transcription by RNA polymerase II Sources:Amigo / QuickGO
Orthologs Species Human Mouse Entrez 2020 13799 Ensembl ENSG00000164778 ENSMUSG00000039095 UniProt P19622 P09066 RefSeq (mRNA) NM_001427 NM_010134 NM_001395060 RefSeq (protein) NP_001418 NP_034264 NP_001381989 Location (UCSC) Chr 7: 155.46 – 155.46 Mb Chr 5: 28.37 – 28.38 Mb PubMed search
Wikidata
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Homeobox protein engrailed-2 is a protein that in humans is encoded by the EN2 gene. It is a member of the engrailed gene family.

Function

Homeobox-containing genes are thought to have a role in controlling development. In Drosophila, the 'engrailed' (en) gene plays an important role during development in segmentation, where it is required for the formation of posterior compartments. Different mutations in the mouse homologs, En1 and En2, produced different developmental defects that frequently are lethal. The human engrailed homologs 1 and 2 encode homeodomain-containing proteins and have been implicated in the control of pattern formation during development of the central nervous system.

Description

The Engrailed-2 gene encodes for the Engrailed-2 homeobox transcription factor. The signaling molecule, fibroblast growth factor 8 (FGF8), controls the expression of the En2 gene. The isthmus organizer expresses varying concentrations of FGF8 that influence the En2 transcription factor. En2 transcription factor is involved in patterning the midbrain of the central nervous system during embryonic development. Specifically, it is required for proper positioning of folia in the developing hemispheres. It continues to regulate foliation throughout nervous system development. En2 patterns cerebellum foliation in the mediolateral axis. Several birth defects can arise from inadequate or abnormal En2 expression. Scientists use a mice model to study the effects of En2 knockout alleles on development. When the En2 gene is knocked out, vermis foliation patterning becomes extremely altered. Along with decreased cerebellum foliation complexity, mutations in the En2 gene result in a depleted vermis or an overly simplified foliation pattern. The Engrailed genes are essential to proper neural circuit development.

In cancer diagnosis

A method for diagnosing prostate cancer by detection of EN2 in urine has been developed. The results of a clinical trial of 288 men suggest that EN2 could be a marker for prostate cancer which might prove more reliable than current methods that use prostate-specific antigen (PSA). If effective, a urine test is considered easier and less embarrassing for the patient than blood tests or rectal examinations and, therefore, less likely to discourage early diagnosis. At the time of the report, it was not clear whether or not the EN2 test could distinguish between aggressive tumours that would require intervention and relatively benign ones that would not.

Licensing and marketing

The EN2 test for prostate cancer has been licensed to Zeus Scientific, as they reported in March 2013. In that announcement they said they expected the test to be submitted to the US-FDA in a year, and available worldwide in 2 years.

Negative results

However, an independent study published in 2020 questioned the value of EN2 as a urinary marker for prostate cancer. In a comparison between 90 PC patients and 30 healthy subjects, their results show that EN2 as a PC biomarker brings no additional value to the current use of PSA in clinical practice. Despite their announcement of new clinical trial in 2018, the developers of the urinary EN2 test at the University of Surrey never registered such a trial at ClinicalTrials.gov or published any results of it. Also, Randox Ltd, the diagnostic company which was to commercialize the urinary EN2, does not offer it any more in their product portfolio.

References

1. ^ GRCh38: Ensembl release 89: ENSG00000164778 – Ensembl, May 2017
2. ^ GRCm38: Ensembl release 89: ENSMUSG00000039095 – Ensembl, May 2017
3. "Human PubMed Reference:". National Center for Biotechnology Information, U.S. National Library of Medicine.
4. "Mouse PubMed Reference:". National Center for Biotechnology Information, U.S. National Library of Medicine.
5. ^ "Entrez Gene: EN2 engrailed homeobox 2".
6. Morgan R, Boxall A, Bhatt A, Bailey M, Hindley R, Langley S, et al. (March 2011). "Engrailed-2 (EN2): a tumor specific urinary biomarker for the early diagnosis of prostate cancer". Clinical Cancer Research. 17 (5): 1090–8. doi:10.1158/1078-0432.CCR-10-2410. PMID 21364037. Lay source: Brimelow A (1 March 2011). "Prostate cancer test is 'twice as good', say researchers". BBC News.
7. "University of Surrey licenses the patented use of EN2 protein as a diagnostic biomarker for prostate and bladder cancer to ZEUS Scientific". 13 March 2013. Archived from the original on 7 March 2014. Retrieved 7 March 2014.
8. "Licence deal brings breakthrough prostate cancer test closer to clinical use". 13 March 2013. Archived from the original on 7 March 2014. Retrieved 7 March 2014.
9. Do Carmo Silva J, Vesely S, Novak V, Luksanova H, Prusa R, Babjuk M (February 2020). "Is Engrailed-2 (EN2) a truly promising biomarker in prostate cancer detection?". Biomarkers. 25 (1): 34–39. doi:10.1080/1354750X.2019.1690047. PMID 31692391. S2CID 207890141.
10. "Biomarkers – Engrailed-2 (EN2) Urine Test for the Diagnosis of Prostate Cancer". Archived from the original on 16 February 2023. Retrieved 16 February 2023.
11. "Clinical Trials".

Further reading

• Cheng Y, Sudarov A, Szulc KU, Sgaier SK, Stephen D, Turnbull DH, et al. (February 2010). "The Engrailed homeobox genes determine the different foliation patterns in the vermis and hemispheres of the mammalian cerebellum". Development. 137 (3): 519–29. doi:10.1242/dev.027045. PMC 2858911. PMID 20081196.
• Logan C, Hanks MC, Noble-Topham S, Nallainathan D, Provart NJ, Joyner AL (1993). "Cloning and sequence comparison of the mouse, human, and chicken engrailed genes reveal potential functional domains and regulatory regions". Developmental Genetics. 13 (5): 345–58. doi:10.1002/dvg.1020130505. PMID 1363401.
• Joyner AL, Herrup K, Auerbach BA, Davis CA, Rossant J (March 1991). "Subtle cerebellar phenotype in mice homozygous for a targeted deletion of the En-2 homeobox". Science. 251 (4998): 1239–43. Bibcode:1991Sci...251.1239J. doi:10.1126/science.1672471. PMID 1672471.
• Poole SJ, Law ML, Kao FT, Lau YF (April 1989). "Isolation and chromosomal localization of the human En-2 gene". Genomics. 4 (3): 225–31. doi:10.1016/0888-7543(89)90324-8. PMID 2565873.
• Logan C, Willard HF, Rommens JM, Joyner AL (February 1989). "Chromosomal localization of the human homeo box-containing genes, EN1 and EN2". Genomics. 4 (2): 206–9. doi:10.1016/0888-7543(89)90301-7. PMID 2567700.
• Kozmik Z, Sure U, Rüedi D, Busslinger M, Aguzzi A (June 1995). "Deregulated expression of PAX5 in medulloblastoma". Proceedings of the National Academy of Sciences of the United States of America. 92 (12): 5709–13. Bibcode:1995PNAS...92.5709K. doi:10.1073/pnas.92.12.5709. PMC 41766. PMID 7777574.
• Joliot A, Trembleau A, Raposo G, Calvet S, Volovitch M, Prochiantz A (May 1997). "Association of Engrailed homeoproteins with vesicles presenting caveolae-like properties". Development. 124 (10): 1865–75. doi:10.1242/dev.124.10.1865. PMID 9169834.
• "A full genome screen for autism with evidence for linkage to a region on chromosome 7q. International Molecular Genetic Study of Autism Consortium". Human Molecular Genetics. 7 (3): 571–8. March 1998. doi:10.1093/hmg/7.3.571. hdl:11858/00-001M-0000-0012-C9D8-C. PMID 9546821.
• Sanger Centre, Washington University Genome Sequencing Center (November 1998). "Toward a complete human genome sequence". Genome Research. 8 (11): 1097–108. doi:10.1101/gr.8.11.1097. PMID 9847074.
• Philippe A, Martinez M, Guilloud-Bataille M, Gillberg C, Råstam M, Sponheim E, et al. (May 1999). "Genome-wide scan for autism susceptibility genes. Paris Autism Research International Sibpair Study". Human Molecular Genetics. 8 (5): 805–12. doi:10.1093/hmg/8.5.805. PMID 10196369.
• Risch N, Spiker D, Lotspeich L, Nouri N, Hinds D, Hallmayer J, et al. (August 1999). "A genomic screen of autism: evidence for a multilocus etiology". American Journal of Human Genetics. 65 (2): 493–507. doi:10.1086/302497. PMC 1377948. PMID 10417292.
• Ashley-Koch A, Wolpert CM, Menold MM, Zaeem L, Basu S, Donnelly SL, et al. (November 1999). "Genetic studies of autistic disorder and chromosome 7". Genomics. 61 (3): 227–36. doi:10.1006/geno.1999.5968. PMID 10552924.
• Barrett S, Beck JC, Bernier R, Bisson E, Braun TA, Casavant TL, et al. (December 1999). "An autosomal genomic screen for autism. Collaborative linkage study of autism". American Journal of Medical Genetics. 88 (6): 609–15. doi:10.1002/(SICI)1096-8628(19991215)88:6<609::AID-AJMG7>3.3.CO;2-C. PMID 10581478.
• Sarnat HB, Benjamin DR, Siebert JR, Kletter GB, Cheyette SR (2002). "Agenesis of the mesencephalon and metencephalon with cerebellar hypoplasia: putative mutation in the EN2 gene--report of 2 cases in early infancy". Pediatric and Developmental Pathology. 5 (1): 54–68. doi:10.1007/s10024-001-0103-5. PMID 11815869. S2CID 20406280.
• Zhong H, Serajee FJ, Nabi R, Huq AH (January 2003). "No association between the EN2 gene and autistic disorder". Journal of Medical Genetics. 40 (1): 4e–4. doi:10.1136/jmg.40.1.e4. PMC 1735256. PMID 12525552.
• Foucher I, Montesinos ML, Volovitch M, Prochiantz A, Trembleau A (May 2003). "Joint regulation of the MAP1B promoter by HNF3beta/Foxa2 and Engrailed is the result of a highly conserved mechanism for direct interaction of homeoproteins and Fox transcription factors". Development. 130 (9): 1867–76. doi:10.1242/dev.00414. PMID 12642491.
• Gharani N, Benayed R, Mancuso V, Brzustowicz LM, Millonig JH (May 2004). "Association of the homeobox transcription factor, ENGRAILED 2, 3, with autism spectrum disorder". Molecular Psychiatry. 9 (5): 474–84. doi:10.1038/sj.mp.4001498. PMID 15024396. S2CID 59944598.
• Hjerrild M, Stensballe A, Rasmussen TE, Kofoed CB, Blom N, Sicheritz-Ponten T, et al. (2004). "Identification of phosphorylation sites in protein kinase A substrates using artificial neural networks and mass spectrometry". Journal of Proteome Research. 3 (3): 426–33. doi:10.1021/pr0341033. PMID 15253423.

External links

• EN2+protein,+human at the U.S. National Library of Medicine Medical Subject Headings (MeSH)

This article incorporates text from the United States National Library of Medicine, which is in the public domain.

• Genes on human chromosome 7
• Transcription factors
• Prostate cancer