PMID- 33215847 OWN - NLM STAT- MEDLINE DCOM- 20211227 LR - 20211227 IS - 1755-148X (Electronic) IS - 1755-1471 (Linking) VI - 34 IP - 2 DP - 2021 Mar TI - The unfolded protein and integrated stress response in melanoma and vitiligo. PG - 204-211 LID - 10.1111/pcmr.12947 [doi] AB - Epidermal melanocytes are constantly exposed to environmental stressors such as ultraviolet light (UV) and chemotoxins. Several evolutionarily conversed survival mechanisms are deployed to ensure melanocyte recovery after damage including the unfolded protein response (UPR) and integrated stress response (ISR). The UPR/ISR promote restoration of homeostasis, by modulating transcription and translation as well as activating nuclear factor erythroid 2-related factor 2 (NRF2)-mediated antioxidant activity. If repair fails, the UPR/ISR either stimulate cell death, or adaptation that can lead to survival of damaged cells and promote disease. For example, the UPR/ISR may support melanomagenesis by allowing UV-damaged, mutated cells to survive and adapt to a hostile tumor microenvironment that subjects cells to hypoxia, nutrient deprivation, and sub-optimal pH. The UPR and ISR can also promote transcriptional changes that support tumor growth and/or metastasis. Furthermore, these pathways may also underlie acquisition of chemoresistance and modulation of protein expression that alters the efficacy of immunotherapies. UPR activation has also been implicated in the pathogenesis of vitiligo and may promote increased expression of chemokines such as interleukin 6 and interleukin 8 that trigger an autoimmune response against melanocytes. We herein review the potential roles of the UPR/ISR in the etiology of melanoma and vitiligo. CI - (c) 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Manga, Prashiela AU - Manga P AUID- ORCID: 0000-0001-5501-0343 AD - Ronald O. Perelman Department of Dermatology, New York University Grossman School of Medicine, New York, NY, USA. FAU - Choudhury, Noshin AU - Choudhury N AUID- ORCID: 0000-0002-5841-1684 AD - Ronald O. Perelman Department of Dermatology, New York University Grossman School of Medicine, New York, NY, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20201202 PL - England TA - Pigment Cell Melanoma Res JT - Pigment cell & melanoma research JID - 101318927 SB - IM MH - Animals MH - Humans MH - Melanoma/etiology/metabolism/*pathology MH - *Stress, Physiological MH - *Unfolded Protein Response MH - Vitiligo/etiology/metabolism/*pathology OTO - NOTNLM OT - integrated stress response OT - melanocyte damage OT - melanoma OT - unfolded protein response OT - vitiligo EDAT- 2020/11/21 06:00 MHDA- 2021/12/28 06:00 CRDT- 2020/11/20 08:41 PHST- 2020/09/05 00:00 [received] PHST- 2020/10/28 00:00 [revised] PHST- 2020/11/17 00:00 [accepted] PHST- 2020/11/21 06:00 [pubmed] PHST- 2021/12/28 06:00 [medline] PHST- 2020/11/20 08:41 [entrez] AID - 10.1111/pcmr.12947 [doi] PST - ppublish SO - Pigment Cell Melanoma Res. 2021 Mar;34(2):204-211. doi: 10.1111/pcmr.12947. Epub 2020 Dec 2.