“…Consistent with the role of ICK downstream of CCRK, mutations of ICK and CCRK homologues in various organisms cause a long cilia/flagella phenotype and often increase the variation in the ciliary length of individual cells (Asleson and Lefebvre, 1998;Berman et al, 2003;Bengs et al, 2005;Burghoorn et al, 2007;Tam et al, 2007;Omori et al, 2010;Yang et al, 2013;Moon et al, 2014;Okamoto et al, 2017;Yi et al, 2018;Jiang et al, 2019;Maurya et al, 2019;Wang et al, 2019;Nakamura et al, 2020). Furthermore, mutations of CCRK and BROMI (also known as TBC1D32), which interact with CCRK (Ko et al, 2010;Noguchi et al, 2021), in humans cause ciliopathies, and CCRK and BROMI mutant mice demonstrate defects in embryonic development caused by aberrant Hh signaling (Ko et al, 2010;Adly et al, 2014;Snouffer et al, 2017;Wang et al, 2018;Alsahan and Alkuraya, 2020;Hietamäki et al, 2020). We have recently shown that not only in ICKknockout (KO) cells but also in CCRK-KO cells derived from human telomerase reverse transcriptase-immortalized retinal pigment epithelial 1 (hTERT-RPE1) cells, the average ciliary length is longer and the variation in ciliary length is larger than in control RPE1 cells, and that excessively accumulated proteins at the bulged ciliary tips of these KO cells are eliminated via extracellular vesicles (ECVs) (Noguchi et al, 2021).…”