“…Conversely, due to their inability to downregulate protein synthesis, cells with a compromised UPR, such as those with abrogated PERK/eIF2α or IRE1/ XBP1 signaling, are substantially more sensitive to ER-induced cell death than wild-type cells, presumably due to the continuous accumulation of misfolded proteins in the ER, a process termed proteotoxicity (54,56). The mechanisms for ER-induced apoptosis are not completely understood, but there is strong evidence that Ca 2+ release from ER stores induces cytochrome c release from the mitochondria (57,58). This leads to the subsequent activation of caspase-3, -4, and -7 in human cells and of caspase-12 in rodents, which mediate apoptosis (59,60).…”