“…The loop extrusion model predicts that perturbation of the extrusion machinery, or sequence variants that disrupt CTCF binding, can result in loss of insulation, ectopic enhancerpromoter interactions, and off-target gene activation with potential pathogenic outcomes. Indeed, such effects have been observed in multiple studies (Baudic et al, 2024;Cova et al, 2023;Dowen et al, 2014;Ealo et al, 2023;Engel et al, 2008;Flavahan et al, 2016;Franke et al, 2016;Hanssen et al, 2017;Juan et al, 2022;Kraft et al, 2019;Lupianez et al, 2015;Narendra et al, 2015;Rajderkar et al, 2023;van Bemmel et al, 2019;Wu et al, 2021) . However, disruption of chromatin domains does not always impact gene regulation or affect physiological processes.…”