Frontiers in Pharmacology (Sep 2021)

Targeting the Integrated Stress Response in Cancer Therapy

  • Xiaobing Tian,
  • Xiaobing Tian,
  • Xiaobing Tian,
  • Xiaobing Tian,
  • Shengliang Zhang,
  • Shengliang Zhang,
  • Shengliang Zhang,
  • Shengliang Zhang,
  • Lanlan Zhou,
  • Lanlan Zhou,
  • Lanlan Zhou,
  • Lanlan Zhou,
  • Attila A. Seyhan,
  • Attila A. Seyhan,
  • Attila A. Seyhan,
  • Attila A. Seyhan,
  • Liz Hernandez Borrero,
  • Yiqun Zhang,
  • Wafik S. El-Deiry,
  • Wafik S. El-Deiry,
  • Wafik S. El-Deiry,
  • Wafik S. El-Deiry,
  • Wafik S. El-Deiry

DOI
https://doi.org/10.3389/fphar.2021.747837
Journal volume & issue
Vol. 12

Abstract

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The integrated stress response (ISR) is an evolutionarily conserved intra-cellular signaling network which is activated in response to intrinsic and extrinsic stresses. Various stresses are sensed by four specialized kinases, PKR-like ER kinase (PERK), general control non-derepressible 2 (GCN2), double-stranded RNA-dependent protein kinase (PKR) and heme-regulated eIF2α kinase (HRI) that converge on phosphorylation of serine 51 of eIF2α. eIF2α phosphorylation causes a global reduction of protein synthesis and triggers the translation of specific mRNAs, including activating transcription factor 4 (ATF4). Although the ISR promotes cell survival and homeostasis, when stress is severe or prolonged the ISR signaling will shift to regulate cellular apoptosis. We review the ISR signaling pathway, regulation and importance in cancer therapy.

Keywords