Sykes Erin K, Mactier Swetlana, Christopherson Richard I
School of Molecular Bioscience, The University of Sydney, Darlington 2006, Australia.
Cancers (Basel). 2016 Feb 27;8(3):30. doi: 10.3390/cancers8030030.
The UPR (unfolded protein response) has been identified as a key factor in the progression and metastasis of cancers, notably melanoma. Several mediators of the UPR are upregulated in cancers, e.g., high levels of GRP78 (glucose-regulator protein 78 kDa) correlate with progression and poor outcome in melanoma patients. The proliferative burden of cancer induces stress and activates several cellular stress responses. The UPR is a tightly orchestrated stress response that is activated upon the accumulation of unfolded proteins within the ER (endoplasmic reticulum). The UPR is designed to mediate two conflicting outcomtes, recovery and apoptosis. As a result, the UPR initiates a widespread signaling cascade to return the cell to homeostasis and failing to achieve cellular recovery, initiates UPR-induced apoptosis. There is evidence that ER stress and subsequently the UPR promote tumourigenesis and metastasis. The complete role of the UPR has yet to be defined. Understanding how the UPR allows for adaption to stress and thereby assists in cancer progression is important in defining an archetype of melanoma pathology. In addition, elucidation of the mechanisms of the UPR may lead to development of effective treatments of metastatic melanoma.
未折叠蛋白反应(UPR)已被确定为癌症进展和转移的关键因素,尤其是黑色素瘤。UPR的几种介质在癌症中上调,例如,高水平的葡萄糖调节蛋白78 kDa(GRP78)与黑色素瘤患者的病情进展和不良预后相关。癌症的增殖负担会引发应激并激活多种细胞应激反应。UPR是一种精心编排的应激反应,在内质网(ER)中未折叠蛋白积累时被激活。UPR旨在介导两种相互矛盾的结果,即恢复和凋亡。因此,UPR启动广泛的信号级联反应,使细胞恢复稳态,若无法实现细胞恢复,则启动UPR诱导的凋亡。有证据表明内质网应激以及随后的UPR会促进肿瘤发生和转移。UPR的完整作用尚未明确。了解UPR如何使细胞适应应激从而促进癌症进展,对于确定黑色素瘤病理原型至关重要。此外,阐明UPR的机制可能会导致转移性黑色素瘤有效治疗方法的开发。