The integrated stress response (ISR) is an evolutionary conserved stress response pathway that leads to a global arrest in translation as well as to the expression of specific genes, such as the transcription factor ATF4, to promote cellular recovery. The central nexus of this pathway is the phosphorylation of the alpha subunit of eukaryotic translation initiation factor 2 (eIF2a) by one of the four eIF2a kinases that sense specific cellular stressors. The heme-regulated inhibitor (HRI) is one of these kinases, and it was initially reported to be activated in response to heme deprivation. Nevertheless, further studies have established that cytosolic proteotoxicity, resulting from oxidative or osmotic stress, heat shock, and proteasome inhibition, is the predominant trigger for HRI to induce the ISR. In this review, we present newly identified functions of HRI in innate immunity, proteostasis, and mitochondrial stress. Indeed, HRI-mediated signaling defines a novel cytosolic unfolded protein response (cUPR) required for the proper formation of some innate immune signalosomes and the control of toxic protein aggregates, and this eIF2a kinase also serves as a relay for mitonuclear communication after a mitochondrial stress. Abbreviations eIF2a, alpha subunit of eukaryotic translation initiation factor 2; GCN2, general control nonderepressible 2; HRI, heme-regulated inhibitor; ISR, integrated stress response; PERK, PKR-like ER kinase; PKR, double-stranded RNA (dsRNA)-dependent protein kinase.
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