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Tetratricopeptide repeat domain 21B (TTC21B) is a protein-coding gene encoding a component of the intraflagellar transport complex A (IFT-A) required for retrograde ciliary protein trafficking, including the movement of G protein-coupled receptors (GPCRs) within cilia. TTC21B is characterized by several tetratricopeptide repeat (TPR) domains, is localized to the ciliary axoneme, and plays crucial roles in ciliary function and maintenance. Mutations in TTC21B disrupt ciliary transport and are causally linked to a spectrum of ciliopathies including nephronophthisis 12 (NPHP12), Jeune asphyxiating thoracic dystrophy (JATD/SRTD4), and certain forms of retinal degeneration; it can also act as a genetic modifier in multi-gene ciliopathy syndromes. There are no therapeutics directly targeting TTC21B at this time, but clinical assessment of its variants is used for diagnosis and genetic counseling in relevant inherited disorders.
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