Thiazolidinedione (TZD) binds to nuclear transcriptional factor PPAR-gamma, thereby causing metabolic reprogramming. This drug for the treatment for insulin resistance in type-II DM has been modified into HA15, the novel compound leading ER stress by directly and specifically binding with BiP, also referred to as GFP78. This is the typical case of drug repositioning. Here, HA15 has been shown to promote the dissociation of the ER stress-related molecule complex composed of PERK, IRE1-alpha, and ATF4, therefore reducing the ATPase activity of BiP, which is responsible for the attenuated UPR potential. In addition to the fact that HA15 can overcome the therapeutic limitations against BRAF inhibitor-resistant melanoma cells, they do not at all affect the cellular viability of human normal fibroblasts or melanocytes. It is notable that they also harbor the similar ER stress machinery, but BiP in the normal cells does not seem to be disturbed. What is the difference of BiP (GRP78) between normal and malignant cells in the regulation of ER stress?? Si-RNA-mediated BiP depletion would be the useful experimental design?

http://www.cell.com/cancer-cell/abstract/S1535-6108(16)30171-4

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