Relationship: 1865



Accumulation, misfolded proteins leads to Unfolded Prortein Response

Upstream event


Accumulation, misfolded proteins

Downstream event


Unfolded Prortein Response

Key Event Relationship Overview


AOPs Referencing Relationship


AOP Name Adjacency Weight of Evidence Quantitative Understanding
Inhibition of N-linked glycosylation leads to liver injury adjacent Not Specified Not Specified

Taxonomic Applicability


Sex Applicability


Life Stage Applicability


Key Event Relationship Description


The accumulation of unfolded proteins in the ER triggers the activation of sensors involved in the unfolded protein response.

Evidence Supporting this KER


Biological Plausibility


The activation of the UPR is well documented and known to be related to liver injury.

Empirical Evidence


N-linked protein glycosylation occurs in the ER and is linked to the unfolded protein response (Gerlach, Sharma and Leister, 2012; Aebi, 2013)

When cells experience conditions that alter the ER environment, protein folding can be dramatically affected and can lead to the accumulation of unfolded proteins in this organelle. (Ma and Hendershot, 2004) (Hetz, 2012)(Hetz et al., 2011; Chambers and Marciniak, 2014; Hetz and Papa, 2017)

As chaperones of unfolded proteins, BiP dissociates from the three sensors (IER1alph, PERK and ATF6), promoting correct folding. (Ron and Walter, 2007)

Free IRE1 molecules dimerize and auto- transphosphorylate can activate alternative splicing of X-box binding protein 1 (XBP1) mRNA.(Yoshida et al., 2001)

Free PERKs first form dimers, PERK dimers phosphorylate the α subunit of eukaryotic initiation factor 2 (eIF2α), which can activate the transcription factor ATF4. (Vattem and Wek, 2004)

ATF6 translocates to the Golgi apparatus membrane and gets cleaved, which releases a cytosolic 50-kDa domain that operates as a transcription factor (i.e. ATF6 fragment) regulating quality control of proteins. (Haze et al., 1999)

XBP1, ATF4, and ATF6f, enhance the production of BiP, which binds to newly synthesized proteins to maintain photeohomosis. (Ron and Walter, 2007)

XBP1, ATF4, and ATF6f can induce the translation of CCAAT/enhancer-binding protein homologous protein (CHOP). (Oyadomari and Mori, 2004)

Additional articles for the activation of the UPR by accumillation of misfolded proteins (Ramos-Castañeda et al., 2005)(Wang and Kaufman, 2016)(Dufey et al., 2014)

Uncertainties and Inconsistencies


Is there a threshold when the amount of misfolded proteins so great that the adverse outcome is triggered from the UPR?

Are all 3 branches involved in the adverse outcome? Do they need to be individually described? All the complex feedback loops make for many KERs

Quantitative Understanding of the Linkage


Response-response Relationship




Known modulating factors


Known Feedforward/Feedback loops influencing this KER


Domain of Applicability




Aebi, M. (2013) ‘N-linked protein glycosylation in the ER’, Biochimica et Biophysica Acta - Molecular Cell Research. Elsevier B.V., 1833(11), pp. 2430–2437. doi: 10.1016/j.bbamcr.2013.04.001.

Chambers, J. E. and Marciniak, S. J. (2014) ‘Cellular Mechanisms of Endoplasmic Reticulum Stress Signaling in Health and Disease. 2. Protein misfolding and ER stress’, AJP: Cell Physiology, 307(8), pp. C657–C670. doi: 10.1152/ajpcell.00183.2014.

Dufey, E. et al. (2014) ‘Cellular Mechanisms of Endoplasmic Reticulum Stress Signaling in Health and Disease. 1. An overview’, AJP: Cell Physiology, 307(7), pp. C582–C594. doi: 10.1152/ajpcell.00258.2014.

Gerlach, J. Q., Sharma, S. and Leister, K. J. (2012) ‘Endoplasmic Reticulum Stress in Health and Disease’, pp. 23–40. doi: 10.1007/978-94-007-4351-9.

Haze, K. et al. (1999) ‘Mammalian Transcription Factor ATF6 Is Synthesized as a Transmembrane Protein and Activated by Proteolysis in Response to Endoplasmic Reticulum Stress’, Molecular Biology of the Cell, 10(11), pp. 3787–3799. doi: 10.1091/mbc.10.11.3787.

Hetz, C. et al. (2011) ‘The Unfolded Protein Response: Integrating Stress Signals Through the Stress Sensor IRE1 ’, Physiological Reviews. doi: 10.1152/physrev.00001.2011.

Hetz, C. (2012) ‘The unfolded protein response: controlling cell fate decisions under ER stress and beyond’, Nature reviews. Molecular cell biology, 13(2), pp. 89–102. doi: 10.1038/nrm3270.

Hetz, C. and Papa, F. R. (2017) ‘The Unfolded Protein Response and Cell Fate Control’. doi: 10.1016/j.molcel.2017.06.017.

Ma, Y. and Hendershot, L. M. (2004) ‘ER chaperone functions during normal and stress conditions’, Journal of Chemical Neuroanatomy, 28(1–2), pp. 51–65. doi: 10.1016/j.jchemneu.2003.08.007.

Oyadomari, S. and Mori, M. (2004) ‘Roles of CHOP/GADD153 in endoplasmic reticulum stress’, Cell Death and Differentiation. Nature Publishing Group, 11(4), pp. 381–389. doi: 10.1038/sj.cdd.4401373.

Ramos-Castañeda, J. et al. (2005) ‘Deficiency of ATP2C1, a Golgi ion pump, induces secretory pathway defects in endoplasmic reticulum (ER)-associated degradation and sensitivity to ER stress’, Journal of Biological Chemistry, 280(10), pp. 9467–9473. doi: 10.1074/jbc.M413243200.

Ron, D. and Walter, P. (2007) ‘Signal integration in the endoplasmic reticulum unfolded protein response’, Nature Reviews Molecular Cell Biology. doi: 10.1038/nrm2199.

Vattem, K. M. and Wek, R. C. (2004) ‘Reinitiation involving upstream ORFs regulates ATF4 mRNA translation in mammalian cells’, Proceedings of the National Academy of Sciences, 101(31), pp. 11269–11274. doi: 10.1073/pnas.0400541101.

Wang, M. and Kaufman, R. J. (2016) ‘Protein misfolding in the endoplasmic reticulum as a conduit to human disease’, Nature, 529(7586), pp. 326–335. doi: 10.1038/nature17041.

Yoshida, H. et al. (2001) ‘XBP1 mRNA is induced by ATF6 and spliced by IRE1 in response to ER stress to produce a highly active transcription factor’, Cell, 107(7), pp. 881–891. doi: 10.1016/S0092-8674(01)00611-0.