CTNS and adult Fanconi syndrome: While the defect in cystine transport by cystinosin is the hallmark of cystinosis, it is not the only key player in the pathogenesis of renal Fanconi syndrome; cystinosin has additional roles, including regulation of autophagy, mTOR signalling, lysosomal biogenesis, and vesicle trafficking in proximal tubular epithelial cells.