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ATF4-integrated stress response pathway

Molecular classification
Pathway, Signaling pathway, Stress response pathway
01

Overview

The ATF4-integrated stress response (ISR) pathway centers on Activating Transcription Factor 4 (ATF4), a basic leucine zipper (bZIP) transcription factor that acts as a master regulator of cellular adaptation to various stresses. The ISR is triggered by diverse cellular insults, including amino acid deprivation, oxidative stress, endoplasmic reticulum (ER) stress, and mitochondrial dysfunction. These stresses converge on the phosphorylation of eukaryotic initiation factor 2 alpha (eIF2α), which selectively enhances translation of ATF4 mRNA. Once translated, ATF4 translocates to the nucleus where it binds C/EBP–ATF response elements (CAREs), also known as amino acid response elements (AAREs), in target gene promoters. The pathway regulates genes involved in amino acid metabolism, autophagy, redox homeostasis, apoptosis, and mitochondrial function. It plays roles in cancer progression, neurodegeneration, and diseases linked with mitochondrial dysfunction.

Other names
Activating Transcription Factor 4-integrated stress responseISR pathway
02

Biological functions

Amino acid metabolismAutophagy inductionRedox homeostasisMitochondrial function adaptationApoptosis regulationCell survivalStress response
03

Disease associations

CancerNeurodegenerative diseaseMitochondrial disordersER stress-related diseases
04

Safety considerations

Modulation of apoptosisPotential for off-target effects due to broad stress response

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