“…Alternatively, there may be an attempt to adjust ROS levels, or in cases of sufficient damage, apoptosis is initiated to eliminate the damaged cells. The stress-induced proteins that are activated include tyrosine kinases such as epidermal growth factor (EGF) receptor (EGFR) (10,50,63,72), platelet-derived growth factor (PDGF) receptor (PDGFR) (18,28,42), and Src (1,37,38,48,64,69) and downstream pathways such as extracellular signal-regulated kinase (ERK) (20), c-Jun N-terminal kinase (JNK) (6,52), p38 (11), phosphatidylinositol 3-kinase (PI3K), AKT (33,63), the nuclear factor (NF)-B system (27), p53 activation (9,23,29), and the heat shock response (43,66). In general, the heat shock response, ERK, PI3K/AKT, and NF-B signaling pathways are prosurvival responses, whereas p53, JNK, and p38 activation is associated with apoptosis; however, exceptions should be considered a consequence of cellular specificity.…”