%0 Journal Article %T Mesdc2 plays a key role in cell-surface expression of Lrp4 and postsynaptic specialization in myotubes. %A Hoshi T %A Tezuka T %A Yokoyama K %A Iemura S %A Natsume T %A Yamanashi Y %J FEBS Lett %V 587 %N 23 %D Nov 2013 29 %M 24140340 %F 3.864 %R 10.1016/j.febslet.2013.10.001 %X Low-density lipoprotein receptor-related protein 4 (Lrp4) is essential for pre- and post-synaptic specialization at the neuromuscular junction (NMJ), an indispensable synapse between a motor nerve and skeletal muscle. Muscle-specific receptor tyrosine kinase MuSK must form a complex with Lrp4 to organize postsynaptic specialization at NMJs. Here, we show that the chaperon Mesdc2 binds to the intracellular form of Lrp4 and promotes its glycosylation and cell-surface expression. Furthermore, knockdown of Mesdc2 suppresses cell-surface expression of Lrp4, activation of MuSK, and postsynaptic specialization in muscle cells. These results suggest that Mesdc2 plays an essential role in NMJ formation by promoting Lrp4 maturation.