They are therefore particularly sensitive to endoplasmic reticulum (ER) stress and the subsequent unfolded protein response (UPR).
ER stress in peripheral cells has also been linked to insulin resistance,[3] a precursor to type 2 diabetes.
Causes such as defective protein processing[4] and trafficking [5] or inappropriate calcium regulation [6] are likely in lipid-mediated ER stress.
[7] All three of the pathways involved in the resolution of ER stress by the unfolded protein response (UPR) are also related to inflammation.
[12] XBP1 mRNA cleavage leads to the translation of a transcription factor for genes that resolve ER stress.