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The role of the ER stress sensor IRE1 in cardiovascular diseases
Lu Zhou1, Xizi Zhu1, Shaoqing Lei1
1Department of Anesthesiology, Renmin Hospital of Wuhan University, Wuhan, China.
Insights
Inositol-requiring enzyme 1 (IRE1) plays a key role in cardiovascular diseases beyond the unfolded protein response. Targeting IRE1 offers potential therapeutic strategies for heart failure and I/R injury.
Area of Science:
- Cardiovascular Biology
- Endoplasmic Reticulum Stress
- Unfolded Protein Response
Background:
- Cardiovascular diseases remain a leading cause of global mortality.
- Inositol-requiring enzyme 1 (IRE1) is an endoplasmic reticulum sensor managing cellular stress.
- Persistent endoplasmic reticulum stress activates unfolded protein response pathways, leading to cell death.
Purpose of the Study:
- To summarize recent findings on IRE1's role in cardiovascular diseases.
- To discuss the therapeutic potential of targeting IRE1 for cardiovascular conditions.
Main Methods:
- Literature review of recent research on IRE1 and cardiovascular diseases.
- Analysis of IRE1's involvement in inflammation, immunity, and lipid metabolism.
Main Results:
- IRE1 regulates inflammation, immunity, and lipid metabolism in cardiovascular disease progression.
- IRE1's functions extend beyond its role in the unfolded protein response.
Conclusions:
- IRE1 is a significant factor in cardiovascular disease pathogenesis.
- Modulating IRE1 activity presents a promising therapeutic avenue for treating cardiovascular diseases like I/R injury and heart failure.
Abstract:
Despite enormous advances in the treatment of cardiovascular diseases, including I/R injury and heart failure, heart diseases remain a leading cause of mortality worldwide. Inositol-requiring enzyme 1 (IRE1) is an evolutionarily conserved sensor endoplasmic reticulum (ER) transmembrane protein that senses ER stress. It manages ER stress induced by the accumulation of unfolded/misfolded proteins via the unfolded protein response (UPR). However, if the stress still persists, the UPR pathways are activated and induce cell death. Emerging evidence shows that, beyond the UPR, IRE1 participates in the progression of cardiovascular diseases by regulating inflammation levels, immunity, and lipid metabolism. Here, we summarize the recent findings and discuss the potential therapeutic effects of IRE1 in the treatment of cardiovascular diseases.
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