“…Recent studies have demonstrated a protective role for UFMylation against cardiac myopathy, as UFL1 depletion in cardiomyocytes, which induces ER stress, led to increased fibrosis, decreased cardiac contractility and hypertrophy under pressure overload compared to the controls [ 84 ]. In line with the biological function of UFL1 and its activator DDRGK1, these UFMylation proteins safeguard from the effects of prolonged ER stress in pancreatic beta-cells and other endo- and exocrine cells and thus possibly contributing to the development of type 2 diabetes, steatohepatitis, pancreatitis, ischemic heart injury, as well inflammatory bowel disease [ 33 , 64 , 75 , 83 , 113 , 114 ]. Moreover, UFM1 possibly plays a contribution to tumorigenesis, as demonstrated by the UFMylation of ASC1 and the subsequent transactivation of the ERα [ 34 ] and its role in PI3K signaling in gastric cancer [ 57 ].…”