One of the early cellular responses to endoplasmic reticulum (ER) stress is the activation of the unfolded protein response (UPR). ER stress and the UPR are both implicated in numerous human diseases and pathologies. In spite of this, our knowledge of the molecular mechanisms that regulate cell fate following ER stress is limited. The UPR is initiated by three ER transmembrane receptors: PKR-like ER kinase (PERK), activating transcription factor (ATF) 6 and inositol-requiring enzyme 1 (IRE1). These proteins sense the accumulation of unfolded proteins and their activation triggers specific adaptive responses to resolve the stress. Intriguingly, the very same receptors can initiate signalling pathways that lead to apoptosis when the attempts to resolve the ER stress fail. In this review, we describe the known pro-apoptotic signalling pathways emanating from activated PERK, ATF6 and IRE1 and discuss how their signalling switches from an adaptive to a pro-apoptotic response.
ER stress and unfolded protein responseThe endoplasmic reticulum (ER) is a threedimensional cellular network of extensive interlinked membranous tubules, sacs and flattened cisternae. It spans from the nuclear envelope to the secretory vesicles. The morphology and the extent of the ER network organisation very much depend on the predominant function(s) of any given cell type. The ER participates in a variety of cellular functions such as synthesis and sorting of secretory and membrane proteins, biosynthesis of phospholipids, cholesterol, steroids, degradation of glycogen, detoxification reactions and maintenance of intracellular calcium home-1 To whom correspondence should be addressed (email afshin.samali@nuigalway.ie).