Normal function · from ai-gene-review (P28300, commit 79fe13b38970) · AI-generated, not KB evidence

LOX is a secreted, copper- and lysine-tyrosylquinone-dependent protein-lysine 6-oxidase synthesized as a preproprotein. Extracellular proteolysis produces a mature C-terminal enzyme that oxidatively deaminates selected peptidyl lysine and hydroxylysine residues in collagen and elastin, generating aldehydes that initiate covalent cross-links and stabilize collagen fibrils and elastic fibers. Collagen targeting is regulated by precursor processing and tyrosine sulfation, while the propeptide participates in recruitment to tropoelastin before being released as the noncatalytic LOX propeptide (LOX-PP). Loss-of-function variants impair LOX activity and cause familial thoracic aortic aneurysm and dissection, consistent with an essential role in aortic-wall extracellular-matrix integrity.

After secretion and extracellular processing of proLOX, the mature C-terminal copper/LTQ enzyme oxidatively deaminates selected lysine and hydroxylysine side chains in collagen and elastin to allysine and hydroxyallysine. These aldehydes initiate covalent cross-link formation, thereby stabilizing collagen fibrils and elastic fibers. Substrate delivery is form- and processing-dependent: sulfated tyrosines retained in the long mature form promote collagen binding, whereas the propeptide can recruit proLOX to fibulin-4/tropoelastin assemblies before it is released. These targeting interactions are not treated as stable complex membership. The released LOX-PP is a distinct noncatalytic product, and reported tumor-cell or nuclear effects are not assigned to this extracellular catalytic activity. Human catalytic-domain variants with reduced enzyme activity predispose to thoracic aortic disease, supporting the physiological importance of this reaction for aortic-wall matrix integrity without making disease or blood-vessel morphogenesis a second molecular function.
In the knowledge base · computed from kb/ at build time

Disorders

Relationship is the entry's genetic[].relationship_type. untyped means the entry has a genetic record for the gene but does not type it; its free-text association is shown instead.

DisorderRelationshipWhere the gene appears
Familial Thoracic Aortic Aneurysm and Aortic Dissection causative germline
mechanism: Extracellular matrix structural failure
subtype: LOX-related
scoped to subtype: LOX-related
Keratoconus susceptibility
Mechanism modules · computed from kb/

Identity from HGNC (snapshot 2026-10-01). Page layers are described in the gene pages documentation.