pre-diabetes -> higher blood glucose -> beta cells in pancreas work harder to produce more insulin
diabetes -> beta cells can't sustain a high level of insulin due to ER workload -> very high blood glucose
in ER stress there are 3 key sensor proteins
PERK
IRE1a
ATF6a
ER stress sensor protein: PERK
normal protein -> BiP binds to PERK -> transmembrane kinase PERK is off
unfolded protein binds to BiP -> unbound PERK has exposed lumen domain and homodimerizes -> auto phosphorylation on cytoplasmic side -> homodimer PERK phosphorylates EF2 -> EF2 destabilizes general mRNA translation and upregulates specific mRNA translation like ATF4 protein TF which transits to the nucleus to target genes like
ERAD quality control
chaperones and foldases
metabolism and redox for ROS
ER stress sensor protein: IRE1
normal protein -> BiP binds to IRE1 -> IRE1 off
unfolded protein binds to BiP -> unbound IRE1 has exposed lumen domain and homodimerizes -> auto phosphorylation on cytoplasmic side -> IRE1 turns on/phosphorylates an RNase which splices Xbp1 mRNA to remove hairpin loop and express mRNA into Xbp1 protien to be TF for target genes like
chaperones and foldases
ERAD quality control
ER biogenesis
secretory machinery
ER stress sensor protein: ATF6
normal protein -> BiP binds to ATF6 -> off, this keeps ATF6 in the ER (BiP = golgi transport translocation inhibitor for ATF6)
unfolded protein binds to BiP -> ATF6 transits to golgi -> ATF6 processed through 2 proteolytic sites that release the N terminus cytoplasmic fragment to transit to the nucleus as TF for target genes like
chaperones and foldases
ERAD quality control
ER biogenesis
secretory machinery
BiP is an ER resident chaperone protein that binds to unfolded proteins to help them fold
cells have lots of BiP and some are bound to unfolded protein response (UPR) sensors
if buildup of unfolded proteins in ER -> BiP dissociates from UPR sensors which activates the UPR
the unfolded protein response (UPR) is triggered by a buildup of unfolded proteins in the ER caused by
chemical damage to proteins
protein overproduction beyond ER workload capacity
pathological conditions that affect protein folding
sensing of unfolded proteins result in
PERK phosphorylation -> inhibit general protein translation
IRE1 phosphorylation -> increase chaperone protein translation
ATF6 ER membrane dissociation -> be TF for target genes to help deal with ER stress