Background When unfolded proteins accumulate in the endoplasmic
reticulum (ER), they cause ER stress and activate the pathways of
unfolded protein response (UPR), constituted by a set of canonical ER
stress transducing proteins. While the classical UPR is well-studied,
the functions of non-canonical ER stress transducers are emerging.
Findings The CREB3 (cyclic AMP responsive element binding protein 3)
family, which contains five members including CREB3, CREB3L1, CREB3L2,
CREB3L3, and CREB3L4, is the most important non-canonical ER stress
response factor sensing and modulating unfolded protein homeostasis. As
novel ER stress transducers, the CREB3 family plays important roles in
regulating protein folding, modification, and secretion, contributing to
biological events, including cell proliferation, differentiation, and
migration in diverse contexts, especially in cancer. Conclusion This
review summarized the roles of the CREB3 family in development and
disease progression, with an aim to provide references for further
research and clinical translation.