Abstract

The endoplasmic reticulum (ER) is an organelle equipped with mechanisms for proper protein folding, trafficking, and degradation to maintain protein homeostasis in the secretory pathway. As a defense mechanism, perturbation of ER proteostasis by ER stress agents activates a cascade of signaling pathways from the ER to the nucleus known as unfolded protein response (UPR). The primary goal of UPR is to induce transcriptional and translational programs to restore ER homeostasis for cell survival. As such, defects in UPR signaling have been implicated as a key contributor to multiple diseases including metabolic diseases, degenerative diseases, inflammatory disorders, and cancer. Growing evidence support the critical role of ER stress in regulating the fate as well as the magnitude of the immune response. Moreover, the availability of multiple UPR pharmacological inhibitors raises the hope that targeting UPR can be a new strategy for immune modulation and immunotherapy of diseases. This paper reviews the principal mechanisms by which ER stress affects immune cell biology and function, with a focus of discussion on UPR-associated immunopathology and the development of potential ER stress-targeted therapeutics.

Highlights

  • ER STRESS, IMMUNITY, AND DISEASESThe endoplasmic reticulum (ER) is an essential organelle which participates in protein quality control in the secretory pathway of all eukaryotic cells [1, 2]

  • We call for further studies of unfolded protein response (UPR) pathways and their inhibitors for immune modulation in clinically relevant models, before the promise of UPR targeting as an immunotherapeutic strategy can be utilized

  • ER stress signals are transduced largely by three conserved transmembrane proteins on the ER membrane known as ER stress sensors: inositol-requiring enzyme 1 (IRE1), PKR-like ER kinase (PERK), and activating transcription factor 6 (ATF6)

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Summary

Frontiers in Immunology

Li Z (2020) The Emerging Roles of Endoplasmic Reticulum Stress in Balancing Immunity and Tolerance in Health and Diseases: Mechanisms and Opportunities. The endoplasmic reticulum (ER) is an organelle equipped with mechanisms for proper protein folding, trafficking, and degradation to maintain protein homeostasis in the secretory pathway. Perturbation of ER proteostasis by ER stress agents activates a cascade of signaling pathways from the ER to the nucleus known as unfolded protein response (UPR). Growing evidence support the critical role of ER stress in regulating the fate as well as the magnitude of the immune response. This paper reviews the principal mechanisms by which ER stress affects immune cell biology and function, with a focus of discussion on UPR-associated immunopathology and the development of potential ER stress-targeted therapeutics

INTRODUCTION
ROLES OF MAJOR UPR SENSORS IN CELLULAR HOMEOSTASIS AND DISEASES
IMMUNOLOGICAL IMPACTS OF ER STRESS
Dendritic Cell
Other Immune Cells
Current status
PERK Inhibitors
CONCLUSIVE REMARKS

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