“…An increase in insulin production, up to 20-fold induced by glucose, is a common physiological response of β-cells that results in an intense trafficking of proteins through the ER (Eizirik et al 2008). Therefore, β-cells express high levels of the UPR transducers IRE1α and PERK, which are necessary for strict quality control of pro-insulin synthesis and to limit oxidative stress induced during the insulin folding, a process that could lead to β-cell failure (Lipson et al 2006, Eizirik et al 2008, Back et al 2009, Oslowski & Urano 2011a, Hassler et al 2015. Thus, β-cell exposure to intermittent physiological levels of high glucose increases pro-insulin production with a controlled and regulated UPR activation, which contributes to proper β-cell function and survival (Oslowski & Urano 2011a).…”