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The serine deprivation-dependent induction is regulated by the activating transcription factor 4 (ATF4) and can be reversed by the addition of glycine and serine, but not by other amino acids like leucine or cysteine ( 2.2 CHAC1 regulation through the ATF4-CHOP axis during ER stress The link between amino acid depletion and ATF4 directly connects to a major upstream regulator of CHAC1: the ER stress pathway

Two points worth noting here

First, due to the retrospective nature of the study, data collection was dependent on accurate documentation