GRP78 expression beyond cellular stress: A biomarker for tumor manipulation

Figure 1 Cell surface GRP78 survival and apoptotic pathways in the normal cells. Hypoxia induced apoptosis is inhibited by RoY/ADoPep1 peptide binding to cell surface GRP78. Peptide binding activates the PI3K pathway by Akt phosphorylation and the NEK pathway by ERK1/2 phosphorylation, inducing endothelial cell proliferation, migration and angiogenesis. On the other hand, peptide binding to cell surface GRP78 protects cardiomyocytes and neurons from hypoxia induced apoptosis by activation of the UPR arms. This anti-apoptotic mechanism is characterized by the inhibition of p38 phosphorylation, reduced cytochrome c release followed by a decrease in caspase 3/7 activity. ER: Endoplasmic reticulum.