PT - JOURNAL ARTICLE AU - Milena Vitale AU - Andrea Orsi AU - Anush Bakunts AU - Federica Lari AU - Laura Tadè AU - Angela Cattaneo AU - Roberto Sitia AU - Andrea Raimondi AU - Angela Bachi AU - Eelco van Anken TI - The unfolded protein response switches from pro-survival to pro-apoptotic to cap the extent of endoplasmic reticulum expansion AID - 10.1101/134726 DP - 2017 Jan 01 TA - bioRxiv PG - 134726 4099 - http://biorxiv.org/content/early/2017/05/05/134726.short 4100 - http://biorxiv.org/content/early/2017/05/05/134726.full AB - Insufficient folding capacity of the endoplasmic reticulum (ER) activates the unfolded protein response (UPR) to restore homeostasis. Yet, how the UPR achieves and evaluates ER homeostatic readjustment is poorly understood. In a HeLa cell model we show that, upon a severe proteostatic insult that eclipses the ER chaperone BiP, the UPR transitions from acute full-gear activation to chronic submaximal activation, when BiP is in excess again. As such, the UPR-driven ER expansion is pro-survival, primarily via the UPR transducer ATF6α. Simultaneous abrogation of ER-associated degradation (ERAD) leads to chronic full-gear UPR activation and further ER expansion, but the UPR transducers IRE1α and PERK turn pro-apoptotic. Pro-survival XBP1 mRNA processing by IRE1α is then trumped since unspliced XBP1 mRNA is depleted and IRE1α’s endonuclease activity is unleashed against other RNAs. Thus, the IRE1α/XBP1 relay serves as a capacitor of ER expansion that heralds cell death if the expansion is deemed excessive.