“…Overexpression of TRIM4 potentiated virus-triggered activation of IRF3 and NF-kB, as well as IFN-b induction, whereas knockdown of TRIM4 had opposite effects, suggesting that TRIM4 is an important regulator of virus-induced IFN induction pathways during innate antiviral responses [35]. Mutations in TNIP1, a gene whose main role is downregulation of the NF-kB pathway, were found in NTD patients [36], and knockout of genes involved in the NF-kB pathway, including Bcl10, IKKa, IKKb, and TRAF6, showed NTD-related phenotypes in embryonic stages in mice [37–39]. These results suggest that the genes involved in the NF-kB pathway demonstrate a relationship with NTDs and that TRIM4 might participate in the etiology of NTDs via regulation of innate immune responses, including NF-kB signaling.…”