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Endoplasmic reticulum stress as a pro-fibrotic stimulus
Harikrishna Tanjore1, William E Lawson, Timothy S Blackwell
1Department of Medicine, Division of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University School of Medicine, Nashville, TN, USA.
Endoplasmic reticulum (ER) stress and the unfolded protein response (UPR) are key drivers of fibrosis in organs like the lungs and liver. Targeting ER stress may offer new therapeutic strategies for fibrotic diseases.
Area of Science:
- Cellular Biology
- Pathology
- Physiology
Background:
- Endoplasmic reticulum (ER) stress and unfolded protein response (UPR) activation are implicated in fibrotic conditions across multiple organs.
- ER stress increases cellular susceptibility to pro-fibrotic stimuli, particularly in epithelial cells.
Purpose of the Study:
- To review the role of ER stress and UPR in fibrotic remodeling.
- To explore mechanisms linking ER stress to fibrosis and potential therapeutic targets.
Main Methods:
- Literature review of current evidence on ER stress and fibrosis.
- Analysis of pathways involved in ER stress-induced fibrotic remodeling.
Main Results:
- ER stress promotes fibrosis via apoptosis, epithelial-mesenchymal transition, and inflammation.
- Factors like metabolic issues, oxidative stress, viruses, and environmental exposures induce ER stress.
- Aging exacerbates ER stress, correlating with increased fibrosis incidence.
Conclusions:
- ER stress and UPR are critical determinants of fibrotic remodeling in various tissue fibrosis types.
- Further research is needed to elucidate ER stress mechanisms in fibrosis progression.
- Therapeutic targeting of ER stress and UPR warrants investigation for treating fibrotic diseases.
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