“…It is well established that autoimmune and inflammation response, to a great extent, contribute to the pathogenesis of IIM. Current research for the pathophysiology of IIM has mainly focused on immune and inflammatory response, such as autoantibodies ( Benveniste et al, 2016 ; Arouche-Delaperche et al, 2017 ; Darnoiseaux et al, 2019 ), complement ( Allenbach, Arouche-Delaperche et al, 2018 ; Bergua et al, 2019 ), cytokines ( Day et al, 2020 ), inflammatory cells ( Preuße et al, 2012 ; Rinnenthal et al, 2014 ; Knauss et al, 2019 ; Jiang et al, 2020 ; Seto et al, 2020 ), interferon-signature ( Greenberg et al, 2005 ; Gallay et al, 2019 ), and the upregulation of major histocompatibility complex—class I on myofibers ( Bhattarai et al, 2016 ; Wang et al, 2018 ). Although a previous study revealed evidence for activation of the ER stress response in polymyositis and DM ( Nagaraju et al, 2005 ; Alger et al, 2011 ), the functional role of ER stress was still poorly understood.…”