Targeting the unfolded protein response for disease intervention.
Abstract
INTRODUCTION: The accumulation of misfolded proteins in the endoplasmic reticulum (ER) generates a stress condition that engages the unfolded protein response (UPR). The UPR is an adaptive reaction that aims to reestablish ER proteostasis by recovering the folding capacity of the cell. However, chronic ER stress results in apoptosis. AREAS COVERED: This review focuses on discussing the emerging role of the UPR as a driver of several human pathologies including diabetes, neurodegenerative diseases and cancer. The involvement of specific UPR signaling components on different diseases is highlighted based on preclinical models and pharmacological and genetic manipulation of the pathway. EXPERT OPINION: Therapeutic strategies directed to regulate the activity of different UPR signaling arms may reduce stress levels with a therapeutic gain. Recent drug discovery efforts have identified small molecules that target specific UPR components, providing protection on various disease models. However, important side effects are predicted in the chronic administration due to the fundamental role of the UPR in highly secretory organs such as liver and pancreas. To overcome these problems, we propose the use of combinatorial treatments of selected drugs with natural compounds that are known to modulate the ER proteostasis network.
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Targeting Sig-1R by agonists may regulate ER stress and UPR, manage ER perturbations, regulate the formation of toxic misfolded proteins, and prevent cell-killing apoptotic pathways.
“Targeting Sig-1R by agonists may regulate ER stress and UPR, manage ER perturbations, regulate the formation of toxic misfolded proteins, and prevent the cell-killing apoptotic pathways (Rivas et al., 2015).”
From The therapeutic potentials of Ayahuasca: possible effects against various diseases of civilization (2016) · cites this paper as Rivas et al., 2015
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Molecular Genetics of the Cartilage Collagenopathies
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Self-citation
- Authors
- Rivas, A., Vidal, R. L., & Hetz, C.
- Affiliations
- University of Chile (CL)
- Neurounion Biomedical Foundation (CL)
- Harvard University (US)
- Venue
- Expert Opinion on Therapeutic Targets
- Publisher
- Informa Healthcare
- Published
- 2015-07-13
- Volume
- 19
- Issue
- 9
- Pages
- 1203-1218
- ISSN
- 1472-8222 (ISSN-L)
- 1744-7631
- OpenAlex
- W1619133210
- Cited by
- 62
- References
- 132
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 1 · 2022: 4 · 2021: 7 · 2020: 9 · 2019: 6 · 2018: 5 · 2017: 11 · 2016: 12 · 2015: 2
- FWCI
- 1.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Expert Opinion on Therapeutic Targets (publishedVersion)
- PubMed (publishedVersion)
- Universidad de Chile (submittedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Endoplasmic Reticulum Stress and Disease
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Heat shock proteins research
- Life Sciences › Neuroscience › Sensory Systems › Ion Channels and Receptors
- Keywords
- unfolded protein response, endoplasmic reticulum stress, ER proteostasis, misfolded proteins, apoptosis, diabetes mellitus, neurodegenerative diseases, cancer, small molecule drug discovery, natural compounds, combination therapy, secretory organs
- MeSH terms
- Animals, Diabetes Mellitus, Endoplasmic Reticulum, Humans, Neoplasms, Drug Design, Apoptosis, Neurodegenerative Diseases, Unfolded Protein Response, Endoplasmic Reticulum Stress
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