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Cybulsky AV et al. – ER stress was associated with aggregation and ubiquitination of alpha–actinin–4 K256E, and impairment of the ubiquitin–proteasome system. In addition, alpha–actinin–4 K256E exacerbated apoptosis in the context of mild proteasome inhibition. Thus, alpha–actinin–4 K256E triggers several metabolic abnormalities, which may lead to GEC injury and glomerulosclerosis.

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