Role for the Unfolded Protein Response in Heart Disease and Cardiac Arrhythmias

Int J Mol Sci. 2015 Dec 31;17(1):52. doi: 10.3390/ijms17010052.

Abstract

The unfolded protein response (UPR) has been extensively investigated in neurological diseases and diabetes, while its function in heart disease is less well understood. Activated UPR participates in multiple cardiac conditions and can either protect or impair heart function. Recently, the UPR has been found to play a role in arrhythmogenesis during human heart failure by affecting cardiac ion channels expression, and blocking UPR has an antiarrhythmic effect. This review will discuss the rationale for and challenges to targeting UPR in heart disease for treatment of arrhythmias.

Keywords: ATF6α; Grp78; IRE1; PERK; cardiac ion channels; ischemia.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Review

MeSH terms

  • Animals
  • Arrhythmias, Cardiac / drug therapy
  • Arrhythmias, Cardiac / genetics
  • Arrhythmias, Cardiac / metabolism*
  • Arrhythmias, Cardiac / pathology
  • Endoplasmic Reticulum Chaperone BiP
  • Heart Diseases / drug therapy
  • Heart Diseases / genetics
  • Heart Diseases / metabolism*
  • Heart Diseases / pathology
  • Humans
  • Molecular Targeted Therapy
  • Unfolded Protein Response* / drug effects