Review Article

The Role of the ER-Induced UPR Pathway and the Efficacy of Its Inhibitors and Inducers in the Inhibition of Tumor Progression

Table 1

UPR involvement in cancers.

UPR linked to cancerCancer typeBranch of the UPRReferences

Cancer initiationCRCPERK/eIF2α axis activation is associated with the loss of stemness
IRE1α pathway induces intestinal stem cell expansion
[72, 73]
Colitis-associated cancer modelXBP1 loss in epithelial cells results in intestinal stem cell hyperproliferation
Tumor quiescence and aggressivenessProstate cancerChange in ATF6α, PERK, and IRE1α expression[60, 61, 71, 74, 75]
B-CLLBiP/GRP78 overexpression triggers survival signals and prevents apoptosis
Triple-negative breast cancersConstitutively active IRE1α/XBP1s axis confers higher aggressiveness due to XBP1-mediated hypoxia-inducible factor-1α activation
Glioblastoma (GBM)IRE1α endoribonuclease activity regulates the extracellular matrix protein SPARC (secreted protein acidic and rich in cysteine) involved in GBM tumor invasion
Tumor epithelial-to-mesenchymal transitionBreast tumors thyroid cell glioblastoma (GBM)Increased expression of XBP1s in metastatic tumors correlates with the EMT inducer SNAIL (snail-related protein)
LOXL2 (lysyl oxidase-like 2)/GRP78 activates the IRE1-XBP1 signaling induce EMT-linked transcription factors expression: SNAI1 (snail family transcriptional repressor), SNAI2, ZEB2 (zinc-finger E-box-binding homeobox 2), and TCF3 (transcription factor 3)
Serpin B3, a serine/cysteine protease inhibitor overexpression, is associated with chronic UPR induction leading to nuclear factor-κB activation and interleukin-6 production
PERK constitutive activation correlates with the overexpression of the TWIST (twist-related protein) transcription factor
[7678]
Tumor angiogenesisHuman head and neck squamous cell carcinomaAmino acid deprivation promotes tumor angiogenesis through the GCN2/ATF4 pathway[32, 63, 65, 7982]
Human head and neck squamous cell carcinoma, breast cancer, and glioma cell linesGlucose deprivation-induced UPR activation promotes upregulation of proangiogenic mediators (VEGF, FGF2, and IL6) and downregulation of several angiogenic inhibitors (THBS1, CXCL14, and CXCL10) through the PERK/ATF4
Colorectal cancerHypoxic stress-induced PERK overexpression stimulates the creation of microvessels
Glioblastoma (GBM)IRE1α signaling induce vascular endothelial growth factor-A (VEGF-A), interleukin-1β, and interleukin-6
IRE1α-mediated mRNA cleavage of the circadian gene PERIOD1,92 an important mediator of regulation of the CXCL3 chemokine supports tumor angiogenesis
PERK-ATF4 branch upregulates VEGF in hypoxia
Prostatic and glioma cancer cellsChaperone ORP150 (oxygen-regulated protein 150) controls tumor angiogenesis by promoting the secretion of VEGF
Tumor metabolic processesTriple-negative breast cancer cellsHypoxia-inducible factor-1α activation, XBP1 upregulates glucose transporter 1 expression promotes glucose uptake of IRE1α, XBP1s downstream activates enzymes of the hexosamine biosynthetic pathway expression[83]
Tumor autophagyTriple-negative breast cancer cellsPERK/eIF2α/ATF4 pathway activation protect tumor cells through autophagy induction via LC3B (autophagy protein microtubule-associated protein 1 light chain 3b) and ATG5 (autophagy protein 5)
TNF receptor associated factor 2 (TRAF2)/IRE1α activates c-Jun N-terminal protein kinase induces autophagy
[19, 83]