“…Elp1 is a requisite scaffolding protein of the six-subunit elongator complex that regulates translation by modifying particular tRNAs ( Huang et al, 2005 ; Huang et al, 2008 ; Karlsborn et al, 2014 ; Xu et al, 2015 ; Esberg et al, 2006 ). Deletion of elongator subunits has been shown to alter tRNA modifications and protein expression in several systems ( Cameron et al, 2021 ; Chen et al, 2009b ; Esberg et al, 2006 ; Goffena et al, 2018 ; Karlsborn et al, 2014 ; Kojic et al, 2021 ). Consequently, loss or reduction of Elp1 protein leads directly or indirectly to the clinical phenotypes seen in FD, which include impaired pain and temperature sensation, feeding and swallowing difficulties, blood pressure instability, tachycardia, optic neuropathy, and gastrointestinal dysfunction, among other symptoms.…”