The Effects of Stress on Cells

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Introduction
Stress is a problem faced by all organisms in nature. It is a natural part of life as a response to stimuli. Over the years, it has developed different connotations, but stress is defined as the non-specific response of the body to any demand for change” (Selye, 1998). As such, even cells experience stress. Under some circumstances, short term stress may be beneficial to the cell; however, prolonged stress (especially in the Endoplasmic Reticulum [ER]) created by harmful stimuli such as heat, shock, oxidation, viruses, or other factors may lead to an overabundance of unfolded proteins (Szegezdi, 2007). Prolonged ER stress will then lead to pathological conditions and even apoptosis (orchestrated cell death) induction (Lai, Teodoro, & Volchuk, 2007). Since the ER is the organelle that monitors the proper folding and delivery of proteins, when it is stressed, a recovery response is required by the cell, otherwise disease and/or cell death will surely follow (Kostova & Wolf, 2003).
When under stress, one of the first responses to that stress is carried out by renal (kidney) proximal tubular cells . That reaction is to activate the Unfolded Protein Response (UPR), during which the cell: (a) halts protein synthesis, (b) salvages essential proteins and messenger Ribonucleic Acid (RNA), and (c) degrades and/or folds proteins needed for daily processes in an attempt to maintain the internal homeostasis of the cell (Fukasawa, 2012). If the UPR and proteasomes cannot stabilize the cell, autophagy (self-cell degradation) may occur as a last-ditch effort to preserve cellular homeostasis and prolong cell life (Benbrook & Long, 2012).
Consequently, ER stress and a cells response to it can have profound effects on the human body. One striking example, the subject of study in this research, is a disease that plagues approximately 30% of all diabetics and is a leading cause in the development of End-Stage Renal Disease (National Kidney Foundation, 2012). This serious disease is Diabetic Nephropathy (DN). Several processes, including genetic, environmental, behavioral, and cellular factors contribute to the development of diabetes. The initiation of DN is widely believed to result from the excessive amounts of sugar that are retained in the blood and are then filtered into the urine and absorbed by the kidney. These unusually high and prolonged levels of urinary and blood sugar levels create cellular stress including ER stress and produce high urinary glucose and/or protein at the body level (National Institute of Diabetes and Digestive and Kidney Diseases, 2012).

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