“…The studies have demonstrated that the N-end rule pathway has a strikingly diverse range of developmental and physiological roles, which include the regulation of chromosomal stability [14], spermatogenesis [15], oxygen sensing [16, 19], cardiovascular development [18], muscle wasting [20–23], proteotoxic protein clearance [25], hypertension [26], autophagy [27], neural tube formation [50], bacterial/viral virulence [52, 53], apoptosis [54], and mitophagy [55]. Mutational inactivation of both copies of the UBR1 gene causes Johanson-Blizzard syndrome (JBS), which involves exocrine pancreatic insufficiency and inflammation, physical malformations, and frequent mental retardation [56].…”