“…ER stress and UPR signaling further potentiate liver damage through promoting hepatocyte apoptosis downstream of ATF4/CHOP signaling, inducing release of pathogenic extracellular vesicles through IRE1/XBP1, regulating steatosis, activating inflammatory pathways, and promoting fibrogenesis (Ji et al, 2005;Oyadomari et al, 2008;Cazanave et al, 2010;Pfaffenbach et al, 2010;Cazanave et al, 2011;Li et al, 2011;Malhi et al, 2013;Xiao et al, 2013;Toriguchi et al, 2014;Kakazu et al, 2016;Rahman et al, 2016;Shan et al, 2017;Dasgupta et al, 2020;Duwaerts et al, 2021). ATF6α is involved in lipid synthesis regulation, with ATF6α loss in hepatocytes limiting steatosis, but may also promote fibrogenesis in response to liver injury (Rutkowski et al, 2008;Yamamoto et al, 2010;Chen et al, 2016a;Xue et al, 2021). contributing to NAFLD development and progression.…”