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Published on: July 16, 2018
Endoplasmic reticulum stress‑induced cell death as a potential mechanism for targeted therapy in glioblastoma
Pengfei Shi1, Zhuohang Zhang2, Jie Xu1
1State Key Laboratory of Silkworm Genome Biology, Southwest University, Chongqing 400716, P.R. China.
Abstract:
The endoplasmic reticulum (ER) is an essential organelle for protein synthesis, folding and modification, lipid synthesis, and calcium storage. When endogenous or exogenous stimuli lead to ER‑synthesized protein folding dysfunction, numerous unfolded or misfolded proteins accumulate in the ER cavity and cause a series of subsequent responses, referred to as ER stress. If ER stress is continuous, the unfolded protein response (UPR) is not enough to remove the accumulated unfolded and misfolded proteins, and thus, UPR signaling pathways will drive cell apoptosis. Glioblastoma (GBM) is currently the most aggressive and common malignant tumor of the nervous system. Since ER stress may increase the sensitivity of GBM to temozolomide, this article reviews the possible mechanisms of ER stress‑induced apoptosis and the factors affecting ER stress, and evaluates the potential of ER stress as a therapeutic target.
Insights
Endoplasmic reticulum (ER) stress triggers apoptosis in glioblastoma (GBM) cells. Targeting ER stress may enhance GBM sensitivity to temozolomide, offering a novel therapeutic strategy.
Area of Science:
- Cell Biology
- Neuro-Oncology
- Molecular Medicine
Background:
- The endoplasmic reticulum (ER) is vital for protein homeostasis, lipid synthesis, and calcium storage.
- ER stress occurs when unfolded or misfolded proteins accumulate, potentially leading to cell apoptosis via the unfolded protein response (UPR).
- Glioblastoma (GBM) is an aggressive brain tumor with limited treatment options.
Purpose of the Study:
- To review mechanisms of ER stress-induced apoptosis.
- To identify factors influencing ER stress.
- To evaluate ER stress as a potential therapeutic target for GBM.
Main Methods:
- Literature review of ER stress, UPR, and glioblastoma.
- Analysis of molecular pathways linking ER stress to apoptosis.
- Evaluation of preclinical and clinical data on ER stress modulators in GBM.
Main Results:
- ER stress can induce apoptosis in cancer cells, including GBM.
- Factors like genetic mutations and microenvironment influence ER stress levels.
- ER stress may sensitize GBM cells to chemotherapy, such as temozolomide.
Conclusions:
- ER stress is a critical factor in GBM pathogenesis and treatment response.
- Targeting ER stress pathways presents a promising therapeutic avenue for glioblastoma.
- Further research is warranted to optimize ER stress-based therapies for GBM.
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