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Tenascin-X is a large extracellular matrix glycoprotein encoded by the TNXB gene, predominantly expressed in connective tissues such as skin, muscle, kidney, blood vessels, and digestive tract[1][2][3][4]. It plays a fundamental role in maintaining tissue structure, supporting the organization and maturation of collagen and elastic fibers, and modulating cell adhesion. Tenascin-X deficiency, due to gene mutations or haploinsufficiency, causes forms of Ehlers-Danlos syndrome marked by hypermobile joints, skin hyperextensibility, and other connective tissue deformities. Tenascin-X also regulates the bioavailability of transforming growth factor beta (TGF-β), affecting cell plasticity and possibly responses such as epithelial-to-mesenchymal transition. Unlike other tenascins, Tenascin-X is not known to serve as a receptor, enzyme, or drug target; research is ongoing into its molecular mechanisms in tissue repair and disease pathogenesis[1][2][3][4][5].
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