Function
MKX is a transcription factor that regulates tendon differentiation during embryological development. Knocking out this gene in mouse embryos results in them developing hypoplastic tendons containing less type I collagen. [7] MKX binds directly to the promoter of MyoD and represses its expression, negatively regulating muscle differentiation. [8]
Expression of MKX is maintained in adult tendon tissues, decreasing as a result of ageing or osteoarthritis. Collagen fibres in tendons become more dense and thick following mechanical stimulation as a result of exercise, [9] and MKX is essential in this mechanosensory process. [10]
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