“…Several molecular and cellular mechanisms have been proposed to explain the pathogenesis of ACM. It has been shown that the presence of the ACM causal mutations induce activation of the Hippo signaling and inhibition of the Wnt signaling and activation of transforming growth factor beta (TGFβ) signaling [ 1 , 2 , 17 , 18 , 19 , 20 , 21 , 22 , 23 ]. Recent studies suggest electric instability in early stages of ACM may be the consequence of dysregulation of ion channels and Ca 2+ signaling machinery, not only as direct effect of causal mutations located in genes encoding components of the Ca 2+ homeostasis, but also as consequence of mutations in desmosomal genes [ 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 ].…”