“…Examples include activating transcription factor 1, 2, and 6 (ATF-1/2/6), p53, MITF1, DDIT3, ELK1, and high mobility group-box protein 1 (HMGB1) and so on (Zarubin and Han, 2005). Consistent with the changes of these transcription factors, pORF5 protein was proved to be able to up-regulate DDIT3, activate the expression of unfolded protein and its downstream molecules ATF4, ATF6, and CHOP, thereby promoting cell autophagy (Wen et al, 2020), and also up-regulate the expression of HMGB1 and induce mitochondrial autophagy to resist apoptosis (Lei et al, 2017). MAPK pathway deeply influences the cellular physiological processes, and can active by pORF5 secreted by C. trachomatis.…”