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Benbo Song, Donalyn Scheuner, David Ron, Subramaniam Pennathur, Randal J. Kaufman
Published in Volume 118, Issue 10
J Clin Invest. 2008; 118(10):3378–3389 doi:10.1172/JCI34587
Abstract | Full text | PDF | Supplemental material
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Figure 7
Model depicting interrelationships between protein folding, UPR, CHOP, ROS, and apoptosis in β cells.

The UPR induces genes to improve ER protein folding and reduce oxidative stress and also induces the proapoptotic gene Chop. CHOP enhances ROS formation, possibly through induction of GADD34 or ERO1. Chop-null mutation reduces proapoptotic gene expression to permit increased expression of UPR protective genes and antioxidative stress response genes to minimize ER stress and oxidative stress, thereby improving protein folding to support insulin production (depicted in blue). CHOP may also act, directly or indirectly, to repress transcription of some UPR protective genes or antioxidative stress response genes. Deletion of Chop in combination with insulin resistance increases β cell mass, reduces oxidative stress in islets, and preserves insulin secretion and glucose tolerance.