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Updated: Aug 16, 2026

Gene-environment Interaction Models to Unmask Susceptibility Mechanisms in Parkinson's Disease
Published on: January 7, 2014
ATF4 activates a transcriptional program that chronically suppresses mTOR activity and promotes neurodegeneration in
Matthew D Demmings1, Erica A Kane2, Elizabeth C Tennyson1
1Neuroscience Program, University of Western Ontario, London, ON, Canada; Robarts Research Institute, University of Western Ontario, London, ON, Canada.
Abstract:
The integrated stress response (ISR) enables cells to adapt to diverse cellular stresses, but during chronic or unresolved stress it becomes maladaptive and is implicated in neurodegenerative diseases, including Parkinson disease (PD). The mechanisms underlying maladaptive ISR-driven neurodegeneration, however, remain poorly defined. Here, we find a critical pathway by which chronic ISR activation promotes neurodegeneration in neurotoxin and α synucleinopathy models of PD in vitro and in vivo. We show that sustained activation of ATF4, the central ISR transcription factor, induces the coordinated transcriptional upregulation of SESN2, DDIT4, and Trib3, which cooperate to suppress both mTORC1 and mTORC2 activity. This ATF4-dependent inhibition of mTOR signaling promotes dopaminergic neuron death by facilitating activation of the pro apoptotic BCL 2 family protein PUMA. Together, these findings define a maladaptive ISR/ATF4-mTOR pathway with potential therapeutic relevance for neurodegenerative disorders characterized by chronic ISR activation.
Insights
Chronic activation of the integrated stress response (ISR) pathway drives neurodegeneration in Parkinson disease models. This maladaptive ISR/ATF4-mTOR signaling leads to dopaminergic neuron death, offering therapeutic targets for neurodegenerative disorders.
Area of Science:
- Molecular Biology
- Neuroscience
- Cellular Stress Response
Background:
- The integrated stress response (ISR) is crucial for cellular adaptation to stress.
- Maladaptive ISR activation is linked to neurodegenerative diseases like Parkinson disease (PD).
- Mechanisms of ISR-driven neurodegeneration remain unclear.
Purpose of the Study:
- To elucidate the pathway linking chronic ISR activation to neurodegeneration in PD.
- To identify key molecular players in maladaptive ISR signaling.
Main Methods:
- Utilized in vitro and in vivo models of PD, including neurotoxin and alpha-synucleinopathy models.
- Investigated the role of the transcription factor ATF4 and its downstream targets.
- Assessed the impact on mTORC1/mTORC2 signaling and apoptosis.
Main Results:
- Chronic ISR activation, mediated by ATF4, upregulates SESN2, DDIT4, and Trib3.
- These factors cooperatively inhibit mTORC1 and mTORC2 activity.
- ATF4-dependent mTOR inhibition promotes dopaminergic neuron death via PUMA activation.
Conclusions:
- A critical maladaptive ISR/ATF4-mTOR pathway promotes neurodegeneration in PD models.
- This pathway involves ATF4-induced suppression of mTOR signaling, leading to apoptosis.
- The identified pathway presents a potential therapeutic target for neurodegenerative diseases with chronic ISR activation.
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