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Unfolded Protein Response

Molecular Biology · NLM MeSH · updated 2026-10-29 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 5 min read

A cellular response to environmental insults that cause disruptions in protein folding and/or accumulation of defectively folded protein in the endoplasmic reticulum.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (825 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

A cellular response to environmental insults that cause disruptions in protein folding and/or accumulation of defectively folded protein in the endoplasmic reticulum. It consists of a group of regulatory cascades that are triggered as a response to altered levels of calcium and/or the redox state of the endoplasmic reticulum. Persistent activation of the unfolded protein response leads to the induction of apoptosis.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Protein Responses, Unfolded; Protein Response, Unfolded; Responses, Unfolded Protein; Response, Unfolded Protein; Unfolded Protein Responses.

Where it fits in the MeSH classification

Broader topics
Protein Processing, Post-Translational; Endoplasmic Reticulum Stress
Narrower topics
Endoplasmic Reticulum-Associated Degradation
See also
Endoplasmic Reticulum Stress; Endoplasmic Reticulum-Associated Degradation

Related concepts

  • Protein Folding
  • Endoplasmic Reticulum
  • Apoptosis

Research landscape

PubMed indexes 7,607 records tagged with the MeSH heading “Unfolded Protein Response” (counts retrieved 2026-10-29). 3,250 of them (42.7%) were published from 2020 onward, and the busiest period so far is 2010-2019 with 4,395 records.

Reviews account for 1,703 records (22.4%) and meta-analyses for 5. Randomized controlled trials number 5 (0.1%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 0 records; 2000-2009: 68 records; 2010-2019: 4,395 records; 2020 onward: 3,250 records0through 1999682000-20094,3952010-20193,2502020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 19990
2000-200968
2010-20194,395
2020 onward3,250
Share of records by publication typeReviews: 22.4 percent; Meta-analyses: 0.1 percent; Randomized controlled trials: 0.1 percentReviews22.4% (1,703)Meta-analyses0.1% (5)Randomized controlled trials0.1% (5)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 7,607 PubMed records
TypeRecordsShare
Reviews1,70322.4%
Meta-analyses50.1%
Randomized controlled trials50.1%

Method: PubMed query "Unfolded Protein Response"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-29.

Reading the evidence in molecular biology

Molecular biology establishes mechanisms through controlled experiments, often in simplified systems such as purified proteins, cultured cells or model organisms. Such work can show what is possible in a defined system, but whether a pathway matters in a whole organism or in human disease needs further evidence. Check the experimental system, whether findings were reproduced by independent groups, and whether the authors tested the mechanism directly or inferred it from correlation.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
A cytosolic surveillance mechanism activates the mitochondrial UPR
Sutandy FXR, Gößner I, Tascher G, Münch C
2023Research article
Design not recorded in structured metadata
184cc by
PMID 37286597 · DOI · PMC10284689
The extracellular matrix integrates mitochondrial homeostasis
Zhang H, Tsui CK, Garcia G, Joe LK, Wu H, Maruichi A, et al.
2024Research article
Design not recorded in structured metadata
108cc by
PMID 38942015 · DOI · PMC12352124
Redox regulation of UPR signalling and mitochondrial ER contact sites
Casas-Martinez JC, Samali A, McDonagh B
2024Review article
Design not recorded in structured metadata
59cc by
PMID 38847861 · DOI · PMC11335286
Hijacking the unfolded protein response (UPR) pathway: Balancing viral infection and host cell survival
Chen H, Liu D, Hua J, Wu M, Hua Y, Feng C, et al.
2026Review article
Design not recorded in structured metadata
5cc by
PMID 41386297 · DOI · PMC12800702

A cytosolic surveillance mechanism activates the mitochondrial UPR [1]

Research article Sutandy FXR, Gößner I, Tascher G, Münch C · · 2023 · cited 184 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
The mitochondrial unfolded protein response (UPRmt) is essential to safeguard mitochondria from proteotoxic damage by activating a dedicated transcriptional response in the nucleus to restore proteostasis1,2.
Closing excerpt
These observations reveal a link between mitochondrial and cytosolic proteostasis and provide molecular insight into UPRmt signalling in human cells.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (191 words)

The mitochondrial unfolded protein response (UPRmt) is essential to safeguard mitochondria from proteotoxic damage by activating a dedicated transcriptional response in the nucleus to restore proteostasis1,2. Yet, it remains unclear how the information on mitochondria misfolding stress (MMS) is signalled to the nucleus as part of the human UPRmt (refs. 3,4). Here, we show that UPRmt signalling is driven by the release of two individual signals in the cytosol-mitochondrial reactive oxygen species (mtROS) and accumulation of mitochondrial protein precursors in the cytosol (c-mtProt). Combining proteomics and genetic approaches, we identified that MMS causes the release of mtROS into the cytosol. In parallel, MMS leads to mitochondrial protein import defects causing c-mtProt accumulation. Both signals integrate to activate the UPRmt; released mtROS oxidize the cytosolic HSP40 protein DNAJA1, which leads to enhanced recruitment of cytosolic HSP70 to c-mtProt. Consequently, HSP70 releases HSF1, which translocates to the nucleus and activates transcription of UPRmt genes. Together, we identify a highly controlled cytosolic surveillance mechanism that integrates independent mitochondrial stress signals to initiate the UPRmt. These observations reveal a link between mitochondrial and cytosolic proteostasis and provide molecular insight into UPRmt signalling in human cells.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 37286597 · DOI · PMC10284689

The extracellular matrix integrates mitochondrial homeostasis [2]

Research article Zhang H, Tsui CK, Garcia G, Joe LK, Wu H, Maruichi A, et al. · · 2024 · cited 108 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Cellular homeostasis is intricately influenced by stimuli from the microenvironment, including signaling molecules, metabolites, and pathogens.
Closing excerpt
We postulate that this ECM-mitochondria crosstalk represents an ancient immune pathway, which detects infection- or mechanical-stress-induced ECM damage, thereby initiating adaptive mitochondria-based immune and metabolic responses.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (146 words)

Cellular homeostasis is intricately influenced by stimuli from the microenvironment, including signaling molecules, metabolites, and pathogens. Functioning as a signaling hub within the cell, mitochondria integrate information from various intracellular compartments to regulate cellular signaling and metabolism. Multiple studies have shown that mitochondria may respond to various extracellular signaling events. However, it is less clear how changes in the extracellular matrix (ECM) can impact mitochondrial homeostasis to regulate animal physiology. We find that ECM remodeling alters mitochondrial homeostasis in an evolutionarily conserved manner. Mechanistically, ECM remodeling triggers a TGF-β response to induce mitochondrial fission and the unfolded protein response of the mitochondria (UPRMT). At the organismal level, ECM remodeling promotes defense of animals against pathogens through enhanced mitochondrial stress responses. We postulate that this ECM-mitochondria crosstalk represents an ancient immune pathway, which detects infection- or mechanical-stress-induced ECM damage, thereby initiating adaptive mitochondria-based immune and metabolic responses.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 38942015 · DOI · PMC12352124

Redox regulation of UPR signalling and mitochondrial ER contact sites [3]

Review article Casas-Martinez JC, Samali A, McDonagh B · · 2024 · cited 59 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Mitochondria and the endoplasmic reticulum (ER) have a synergistic relationship and are key regulatory hubs in maintaining cell homeostasis.
Closing excerpt
This review highlights the emerging evidence related to the role of redox mediated UPR activation in orchestrating inter-organelle communication between the ER and mitochondria, and ultimately the determination of cell function and fate.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (229 words)

Mitochondria and the endoplasmic reticulum (ER) have a synergistic relationship and are key regulatory hubs in maintaining cell homeostasis. Communication between these organelles is mediated by mitochondria ER contact sites (MERCS), allowing the exchange of material and information, modulating calcium homeostasis, redox signalling, lipid transfer and the regulation of mitochondrial dynamics. MERCS are dynamic structures that allow cells to respond to changes in the intracellular environment under normal homeostatic conditions, while their assembly/disassembly are affected by pathophysiological conditions such as ageing and disease. Disruption of protein folding in the ER lumen can activate the Unfolded Protein Response (UPR), promoting the remodelling of ER membranes and MERCS formation. The UPR stress receptor kinases PERK and IRE1, are located at or close to MERCS. UPR signalling can be adaptive or maladaptive, depending on whether the disruption in protein folding or ER stress is transient or sustained. Adaptive UPR signalling via MERCS can increase mitochondrial calcium import, metabolism and dynamics, while maladaptive UPR signalling can result in excessive calcium import and activation of apoptotic pathways. Targeting UPR signalling and the assembly of MERCS is an attractive therapeutic approach for a range of age-related conditions such as neurodegeneration and sarcopenia. This review highlights the emerging evidence related to the role of redox mediated UPR activation in orchestrating inter-organelle communication between the ER and mitochondria, and ultimately the determination of cell function and fate.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 38847861 · DOI · PMC11335286

Hijacking the unfolded protein response (UPR) pathway: Balancing viral infection and host cell survival [4]

Review article Chen H, Liu D, Hua J, Wu M, Hua Y, Feng C, et al. · · 2026 · cited 5 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
The endoplasmic reticulum (ER) unfolded protein response (UPR) is a conserved eukaryotic pathway crucial for restoring cellular homeostasis under ER stress.
Closing excerpt
Understanding the sophisticated viral manipulation of the UPR equilibrium reveals fundamental insights into host-pathogen co-evolution and highlights novel potential targets for antiviral strategies aimed at disrupting this delicate balance.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (259 words)

The endoplasmic reticulum (ER) unfolded protein response (UPR) is a conserved eukaryotic pathway crucial for restoring cellular homeostasis under ER stress. However, diverse viruses infecting mammalian or plant cells strategically hijack and manipulate the UPR pathways featuring sensor proteins IRE1, PERK, ATF6, and bZIP17/28 to promote viral replication. While UPR is designed to provide cellular adaptive functions in response to stresses, viruses can instead exploit UPR components to instead enhance viral protein folding and remodel ER membranes for viral replication. Exploiting the UPR presents a critical dilemma: while mild UPR activation facilitates virus replication and survival, excessive or prolonged activation triggers host programmed cell death (PCD), prematurely terminating infection. Navigating this UPR tightrope is central to successful infection and replication of the virus. Viruses are not passive triggers of ER stress and the UPR. Viruses have evolved sophisticated "braking mechanisms" to actively modulate UPR signaling intensity. By fine-tuning the UPR, viruses harness the beneficial aspects of the UPR while crucially preventing the activation cascade from reaching the lethal threshold that initiates PCD. By carefully controlling the UPR balance, viruses ensure host cell survival for a sufficient duration to maximize viral progeny production. This review details the intricate interactions between the cellular UPR and infecting viruses, including links to cellular clearance pathways like autophagy and ER-associated degradation (ERAD), across different viral families (flaviviruses, coronaviridae, and potyviruses) and hosts (plants and animals). Understanding the sophisticated viral manipulation of the UPR equilibrium reveals fundamental insights into host-pathogen co-evolution and highlights novel potential targets for antiviral strategies aimed at disrupting this delicate balance.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 41386297 · DOI · PMC12800702

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Mechanisms, regulation and functions of the unfolded protein response [5]
    Hetz C, Hetz C, Zhang K, Kaufman RJ · Nat Rev Mol Cell Biol · 2020 · cited 2,401 times (Europe PMC)
  • Research article NRF2, a Transcription Factor for Stress Response and Beyond [6]
    He F, Ru X, Wen T · Int J Mol Sci · 2020 · cited 1,447 times (Europe PMC)
  • Research article Protein misfolding in the endoplasmic reticulum as a conduit to human disease [7]
    Wang M, Kaufman RJ · Nature · 2016 · cited 1,339 times (Europe PMC)
  • Research article The Unfolded Protein Response and Cell Fate Control [8]
    Hetz C, Papa FR · Mol Cell · 2018 · cited 1,278 times (Europe PMC)
  • Research article Endoplasmic reticulum stress signals in the tumour and its microenvironment [9]
    Chen X, Cubillos-Ruiz JR · Nat Rev Cancer · 2021 · cited 1,169 times (Europe PMC)
  • Research article ER stress and the unfolded protein response in neurodegeneration [10]
    Hetz C, Saxena S · Nat Rev Neurol · 2017 · cited 858 times (Europe PMC)

References

  1. Sutandy FXR, Gößner I, Tascher G, Münch C. A cytosolic surveillance mechanism activates the mitochondrial UPR. . 2023. PMID 37286597 · DOI · PMC10284689
  2. Zhang H, Tsui CK, Garcia G, Joe LK, Wu H, Maruichi A, et al.. The extracellular matrix integrates mitochondrial homeostasis. . 2024. PMID 38942015 · DOI · PMC12352124
  3. Casas-Martinez JC, Samali A, McDonagh B. Redox regulation of UPR signalling and mitochondrial ER contact sites. . 2024. PMID 38847861 · DOI · PMC11335286
  4. Chen H, Liu D, Hua J, Wu M, Hua Y, Feng C, et al.. Hijacking the unfolded protein response (UPR) pathway: Balancing viral infection and host cell survival. . 2026. PMID 41386297 · DOI · PMC12800702
  5. Hetz C, Hetz C, Zhang K, Kaufman RJ. Mechanisms, regulation and functions of the unfolded protein response. Nat Rev Mol Cell Biol. 2020. PMID 32457508 · DOI · PMC8867924
  6. He F, Ru X, Wen T. NRF2, a Transcription Factor for Stress Response and Beyond. Int J Mol Sci. 2020. PMID 32640524 · DOI · PMC7369905
  7. Wang M, Kaufman RJ. Protein misfolding in the endoplasmic reticulum as a conduit to human disease. Nature. 2016. PMID 26791723 · DOI
  8. Hetz C, Papa FR. The Unfolded Protein Response and Cell Fate Control. Mol Cell. 2018. PMID 29107536 · DOI
  9. Chen X, Cubillos-Ruiz JR. Endoplasmic reticulum stress signals in the tumour and its microenvironment. Nat Rev Cancer. 2021. PMID 33214692 · DOI · PMC7927882
  10. Hetz C, Saxena S. ER stress and the unfolded protein response in neurodegeneration. Nat Rev Neurol. 2017. PMID 28731040 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-29.

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At a glance

7,607
PubMed records on this heading
43%
published since 2020
1,703
review articles
5
randomized trials
10
verified references below

Counts come from PubMed on 2026-10-29; they show how much has been written, not how strong the evidence is.

Related topics See all →

  • SumoylationMolecular Biology
  • UbiquitinationMolecular Biology
  • Protein BiosynthesisMolecular Biology
  • Endoplasmic Reticulum StressMolecular Biology
  • Protein CDrugs and Chemicals

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