The role of endoplasmic reticulum stress in maintaining and targeting multiple myeloma: a double-edged sword of adaptation and apoptosis

Increased cellular protein production places stress on the endoplasmic reticulum (ER), because many of the nascent proteins pass through the ER for folding and trafficking. Accumulation of misfolded proteins in the ER triggers the activation of three well-known pathways including IRE1, ATF6, and PE...

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Main Authors: Shai eWhite-Gilbertson, Yunpeng eHua, Bei eLiu
Format: Article
Language:English
Published: Frontiers Media S.A. 2013-06-01
Series:Frontiers in Genetics
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fgene.2013.00109/full
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author Shai eWhite-Gilbertson
Yunpeng eHua
Bei eLiu
author_facet Shai eWhite-Gilbertson
Yunpeng eHua
Bei eLiu
author_sort Shai eWhite-Gilbertson
collection DOAJ
description Increased cellular protein production places stress on the endoplasmic reticulum (ER), because many of the nascent proteins pass through the ER for folding and trafficking. Accumulation of misfolded proteins in the ER triggers the activation of three well-known pathways including IRE1, ATF6, and PERK. The activity of each sensor modulates the overall ER strategy for managing protein quality control as cellular needs change due to growth, differentiation, infection, transformation, and host of other possible physiological states. Here we review the role of ER stress in multiple myeloma (MM), an incurable plasma cell neoplasm. MM is closely linked to dysregulated unfolded protein response in ER due to the heightened production of immunoglobulin and the metabolic demands of malignant uncontrolled proliferation. Together, these forces may mean that myeloma cells have an Achilles heel which can be exploited as a treatment target: their ER stress response must be constitutively active at a remarkably high level to survive their unique metabolic needs. Therefore, inhibition of the ER stress response is likely to injure the cells, as is any further demand on an already over-worked system. Evidence for this vulnerability is summarized here, along with an overview of how each of the three ER stress sensors has been implicated in myeloma pathogenesis and treatment.
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spelling doaj.art-3e44030754b04afb8a973f95a67b62452022-12-21T19:00:25ZengFrontiers Media S.A.Frontiers in Genetics1664-80212013-06-01410.3389/fgene.2013.0010952799The role of endoplasmic reticulum stress in maintaining and targeting multiple myeloma: a double-edged sword of adaptation and apoptosisShai eWhite-Gilbertson0Yunpeng eHua1Bei eLiu2Medical University of South CarolinaMedical University of South CarolinaMedical University of South CarolinaIncreased cellular protein production places stress on the endoplasmic reticulum (ER), because many of the nascent proteins pass through the ER for folding and trafficking. Accumulation of misfolded proteins in the ER triggers the activation of three well-known pathways including IRE1, ATF6, and PERK. The activity of each sensor modulates the overall ER strategy for managing protein quality control as cellular needs change due to growth, differentiation, infection, transformation, and host of other possible physiological states. Here we review the role of ER stress in multiple myeloma (MM), an incurable plasma cell neoplasm. MM is closely linked to dysregulated unfolded protein response in ER due to the heightened production of immunoglobulin and the metabolic demands of malignant uncontrolled proliferation. Together, these forces may mean that myeloma cells have an Achilles heel which can be exploited as a treatment target: their ER stress response must be constitutively active at a remarkably high level to survive their unique metabolic needs. Therefore, inhibition of the ER stress response is likely to injure the cells, as is any further demand on an already over-worked system. Evidence for this vulnerability is summarized here, along with an overview of how each of the three ER stress sensors has been implicated in myeloma pathogenesis and treatment.http://journal.frontiersin.org/Journal/10.3389/fgene.2013.00109/fullApoptosisEndoplasmic ReticulumMultiple MyelomaUnfolded Protein Responseer stress
spellingShingle Shai eWhite-Gilbertson
Yunpeng eHua
Bei eLiu
The role of endoplasmic reticulum stress in maintaining and targeting multiple myeloma: a double-edged sword of adaptation and apoptosis
Frontiers in Genetics
Apoptosis
Endoplasmic Reticulum
Multiple Myeloma
Unfolded Protein Response
er stress
title The role of endoplasmic reticulum stress in maintaining and targeting multiple myeloma: a double-edged sword of adaptation and apoptosis
title_full The role of endoplasmic reticulum stress in maintaining and targeting multiple myeloma: a double-edged sword of adaptation and apoptosis
title_fullStr The role of endoplasmic reticulum stress in maintaining and targeting multiple myeloma: a double-edged sword of adaptation and apoptosis
title_full_unstemmed The role of endoplasmic reticulum stress in maintaining and targeting multiple myeloma: a double-edged sword of adaptation and apoptosis
title_short The role of endoplasmic reticulum stress in maintaining and targeting multiple myeloma: a double-edged sword of adaptation and apoptosis
title_sort role of endoplasmic reticulum stress in maintaining and targeting multiple myeloma a double edged sword of adaptation and apoptosis
topic Apoptosis
Endoplasmic Reticulum
Multiple Myeloma
Unfolded Protein Response
er stress
url http://journal.frontiersin.org/Journal/10.3389/fgene.2013.00109/full
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