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Cellular Stress Adaptation and the Origins of Disease

1The Logic of Cellular Stress and Adaptation2Stress Sensing and Signal Transduction3Proteostasis: Folding, Chaperones, and Degradation4ER Stress and the Unfolded Protein Response5Mitochondrial Stress, Quality Control, and Cell Fate6Metabolic and Nutrient Stress Adaptation7Inflammatory and Immune Stress Signaling8When Adaptation Becomes Disease: Transition Mechanisms9Disease Applications and Therapeutic Targeting
Stress Sensing and Signal Transduction

Reading a Stress Signal to Its Output

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Use the comparison as a decision procedure. Start with the disturbance, not the outcome. A proteasome inhibitor creates misfolded protein, so the chaperone pool is titrated and HSF1 is released; translation stays on because nothing has limited ternary complex. Amino acid starvation creates uncharged tRNA, so GCN2 phosphorylates eIF2alpha; translation drops and ATF4 rises. Same cell, different sensor, different program. Then look at the note. If both stressors occur together, you do not get a blended program. You get both programs running at once, and the translational block now limits how fast the cell can make the chaperones it needs. That tension is worth remembering.
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Sensor identity determines the transcription factor and whether translation is reprogrammed. Ask which disturbance is present, which sensor detects it, and whether eIF2alpha is phosphorylated. Those three answers predict the output program.

Two stressors, two output programs

Proteasome inhibitor

  • Disturbance: misfolded and ubiquitinated protein
  • Sensor engaged: chaperone titration
  • Transcription factor: HSF1
  • Translation: largely unchanged
  • Output: chaperones and proteasome subunits

Amino acid starvation

  • Disturbance: uncharged tRNA
  • Sensor engaged: GCN2
  • Transcription factor: ATF4
  • Translation: globally suppressed, ATF4 favored
  • Output: amino acid transporters and synthetases

When two stressors are present at once, the outputs superimpose. A translational block can limit synthesis of the very chaperones the folding program needs, which is a trade-off rather than a contradiction.

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