Designing novel therapies to mend broken hearts: ATF6 and cardiac proteostasis

Erik A. Blackwood, Alina S. Bilal, Winston T. Stauffer, Adrian Arrieta, Christopher C. Glembotski

Research output: Contribution to journalReview articlepeer-review

9 Scopus citations


The heart exhibits incredible plasticity in response to both environmental and genetic alterations that affect workload. Over the course of development, or in response to physiological or pathological stimuli, the heart responds to fluctuations in workload by hypertrophic growth primarily by individual cardiac myocytes growing in size. Cardiac hypertrophy is associated with an increase in protein synthesis, which must coordinate with protein folding and degradation to allow for homeostatic growth without affecting the functional integrity of cardiac myocytes (i.e., proteostasis). This increase in the protein folding demand in the growing cardiac myocyte activates the transcription factor, ATF6 (activating transcription factor 6α, an inducer of genes that restore proteostasis. Previously, ATF6 has been shown to induce ER-targeted proteins functioning primarily to enhance ER protein folding and degradation. More recent studies, however, have illuminated adaptive roles for ATF6 functioning outside of the ER by inducing non-canonical targets in a stimulus-specific manner. This unique ability of ATF6 to act as an initial adaptive responder has bolstered an enthusiasm for identifying small molecule activators of ATF6 and similar proteostasis-based therapeutics.

Original languageEnglish (US)
Article number602
Issue number3
StatePublished - Mar 2020
Externally publishedYes


  • ATF6
  • Cardiac myocyte
  • Cardiomyopathy
  • Hypertrophy
  • Proteostasis
  • Small molecule
  • Therapy
  • Transcriptional regulation
  • Unfolded protein response (UPR)

ASJC Scopus subject areas

  • General Biochemistry, Genetics and Molecular Biology


Dive into the research topics of 'Designing novel therapies to mend broken hearts: ATF6 and cardiac proteostasis'. Together they form a unique fingerprint.

Cite this