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Heinzer et al. J Transl Genet Genom 2024;8:1-12  https://dx.doi.org/10.20517/jtgg.2023.39   Page 5
































                Figure 1. The cascade of reactions involved in the UPS. (A) The ubiquitination cascade involves the E1, E2, and E3 ubiquitin ligases and
                produces a polyubiquitinated end-product. (B) The polyubiquitinated protein is then located by the proteasome which degrades and
                deubiquitinates the protein. Created with BioRender.com.

               and the RAF-dependent MKK3/p38 signalling pathways, respectively . In humans, HERC1 mutations are
                                                                          [37]
               known to cause a variety of intellectual disability syndromes with or without cerebellar abnormalities .
                                                                                                       [38]
               Affected individuals are often diagnosed with macrocephaly, motor development delay, and epilepsy, in
               addition to intellectual disability .
                                          [39]

               RB1CC1
               The protein encoded by RB1CC1 (RB1 Inducible Coiled-Coil 1) is a DNA-binding transcription factor (TF),
               commonly referred to as FIP200 . It is responsible for activating the expression of the retinoblastoma
                                            [40]
               1 (RB1) gene by binding to the GC-rich region found upstream of the promoter . Additionally, it interacts
                                                                                  [41]
               with various signalling pathways to regulate cellular processes in a coordinated fashion, including cell-cycle
                                                                                                [42]
               progression, differentiation, and senescence, as well as neural migration and neurodegeneration . Overall,
               there is strong evidence supporting the role of RB1CC1 as a tumour suppressor as it enhances the
                                                                                [41]
               expression of RB1, a gene in which mutational inactivation can lead to cancer .

               SP4
               SP4 (Specificity Protein 4 Transcription Factor) encodes a TF which is a member of the Sp/KLF family of
               TFs . Similarly to RB1CC1, it recognises GC-rich sequences around the promoters of various genes and
                  [43]
               activates transcription; however, SP4 TFs are restrictively expressed in neuronal cells . Common and rare
                                                                                       [43]
               variants in SP4 have been elucidated as risk factors for schizophrenia, possibly through distinct pathological
               molecular mechanisms . The SP4 gene has been proposed to play a crucial role in hippocampal
                                    [44]
                                                                                         [45]
               development and function and has also been associated with bipolar disorder in humans .

               TRIO
               TRIO (Trio Rho Guanine Nucleotide Exchange Factor) encodes a guanine nucleotide exchange factor
               (GEF), which facilitates the activation of Rho GTPases . The TRIO RhoGEF protein regulates GEF-
                                                                [46]
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