REVIEW published: 25 May 2021 doi: 10.3389/fphys.2021.665622 The Impact of Endoplasmic Reticulum-Associated Protein Modifications, Folding and Degradation on Lung Structure and Function Emily M. Nakada1,2, Rui Sun1,2, Utako Fujii1,2 and James G. Martin1,2* 1Meakins-Christie Laboratories, Research Institute of the McGill University Health Centre (RI-MUHC), McGill University, Montreal, QC, Canada, 2McGill University, Montreal, QC, Canada The accumulation of unfolded/misfolded proteins in the endoplasmic reticulum (ER) causes ER stress and induces the unfolded protein response (UPR) and other mechanisms to restore ER homeostasis, including translational shutdown, increased targeting of mRNAs for degradation by the IRE1-dependent decay pathway, selective translation of proteins Edited by: that contribute to the protein folding capacity of the ER, and activation of the ER-associated Andrew John Halayko, degradation machinery. When ER stress is excessive or prolonged and these mechanisms University of Manitoba, Canada fail to restore proteostasis, the UPR triggers the cell to undergo apoptosis. This review Reviewed by: Amir A. Zeki, also examines the overlooked role of post-translational modifications and their roles in University of California, protein processing and effects on ER stress and the UPR. Finally, these effects are Davis, United States Pawan Sharma, examined in the context of lung structure, function, and disease. Thomas Jefferson University, Keywords: unfolded protein response, endoplasmic reticulum, integrated stress response, post-translational United States modifications, disulfide bonds, lung disease, lung function *Correspondence: James G. Martin
[email protected] ENDOPLASMIC RETICULUM STRESS AND THE UNFOLDED Specialty section: PROTEIN RESPONSE This article was submitted to Respiratory Physiology, Cells are normally in a state of proteostasis, whereby networks of signaling pathways work in a section of the journal concert to maintain the proper synthesis, folding, trafficking, and degradation of proteins.