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Updated: Jul 15, 2025

Long-term Behavioral and Reproductive Consequences of Embryonic Exposure to Low-dose Toxicants
Published on: March 6, 2018
Effects of toxicants on endoplasmic reticulum stress and hepatic cell fate determination
1College of Pharmacy and Integrated Research Institute for Drug Development, Dongguk University-Seoul, Goyang-si, Kyeonggi-do 10326 Republic of Korea.
Abstract:
Toxicant-induced injury is a significant global health issue. However, the mechanisms through which toxicants such as carbon tetrachloride, acetaminophen, dimethylformamide, cocaine, and morphine induce the death of multiple cell types and contribute to liver toxicity are highly complex. This phenomenon involves intricate signaling pathways in association with oxidative stress, inflammation, and activation of death receptors, which are closely linked to endoplasmic reticulum (ER) stress. ER stress initially triggers the unfolded protein response, which either promotes cell survival or causes cell death at later times, depending on the severity and duration of the stress. Thus, comprehending the molecular basis governing cell fate determination in the context of ER stress may provide key insights into the prevention and treatment of toxicant-induced injury. This review summarizes our current understanding of agents that trigger different forms of ER stress-mediated cell death, necroptosis, ferroptosis, pyroptosis, and apoptosis, and covers the underlying molecular basis of toxicant-induced ER stress, as well as potential target molecules.
Insights
Toxicant-induced liver injury involves complex cell death pathways linked to endoplasmic reticulum (ER) stress. Understanding ER stress mechanisms is key to developing treatments for toxicant-induced injuries.
Area of Science:
- Toxicology
- Cell Biology
- Molecular Medicine
Background:
- Toxicant-induced injury is a major global health concern.
- Mechanisms of toxicant-induced liver toxicity are complex, involving multiple cell death pathways.
- Endoplasmic reticulum (ER) stress is closely linked to toxicant-induced cell death.
Purpose of the Study:
- To review the molecular basis of toxicant-induced ER stress.
- To summarize agents triggering ER stress-mediated cell death.
- To identify potential therapeutic targets for toxicant-induced injury.
Main Methods:
- Literature review of toxicant-induced cell death mechanisms.
- Analysis of signaling pathways involved in ER stress.
- Examination of unfolded protein response (UPR) in cell fate determination.
Main Results:
- Toxicants trigger complex signaling pathways, oxidative stress, inflammation, and death receptor activation.
- ER stress initiates the unfolded protein response (UPR), influencing cell survival or death.
- ER stress mediates various cell death forms including apoptosis, necroptosis, ferroptosis, and pyroptosis.
Conclusions:
- Comprehending ER stress-mediated cell death is crucial for preventing and treating toxicant-induced injuries.
- Identifying molecular targets within ER stress pathways offers therapeutic potential.
- Further research into ER stress mechanisms can advance the management of liver toxicity.
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