Saethre-Chotzen Syndrome Analysis

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Background Twist1 (class A basic helix-loop-helix protein 38) is a transcription factor, that promotes the stability of upstream regulation through phosphorylation and ubiquitination, during early development.5 The various functional properties of Twist1 were first discovered in Saethre-Chotzen syndrome. This syndrome results from a mutation that causes Twist1 to lose its function, leading to coronal synostosis (cranium disfigurements) and impediments in mental capacity.6 Similarly, cancerous lymph node associations cause promoter hypermethylations, which overexpress Twist1.2 Through that overexpression, the WR domain (N-terminus of Twist1) binds to the transcription factor complex responsible for post translational modifications, called RELA (NF-kB subunit).2 Then, an activated RELA promotes the epithelial-to-mesenchymal transition (EMT) in a downstream pathway.1 Considering EMT regulates cancer cell metastasis, overexpression results in upregulation of EMT effectors N-cadherin and vimentin, with the downregulation of EMT effector E-cadherin (Fig 2).7 Consequently, the alteration in regulation patterns of the EMT effectors induces cellular intrusion and metastasis (Fig. 2). Figure 2: Schematic of Twist1 over activation cascade. The WR domain (N-terminus of Twist1) binds to RELA (NF-kB subunit) inducing the upregulation of …show more content…

As Vallet-Regi's Laboratory has found, MSN's disassemble and release siRNA in response to pH changes.13 This can make targeting a specific cellular region challenging since the MSN may degrade in an acidic area before reaching a basic region. To modify when the siRNA releases, Vallet-Regi's Laboratory has found SIP's (self immolative polymers) with polyurethane backbones and a tert-butyloxycarbonyl protecting group, are an effective method of protecting MSN's until they reach their target acidic pH (Fig.

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