Down-regulation of the unfolded protein response (UPR) can be therapeutically valuable in cancer treatment, and endoplasmic reticulum (ER)-resident chaperone proteins may thus be targets for developing novel chemotherapeutic strategies. ERdj5 is a novel ER chaperone that regulates the ER-associated degradation of misfolded proteins through its associations with EDEM and the ER stress sensor BiP. To investigate whether ERdj5 can regulate ER stress signaling pathways, we exposed neuroblastoma cells overexpressing ERdj5 to ER stress inducers. ERdj5 promoted apoptosis in tunicamycin, thapsigargin, and bortezomib-treated cells. To provide further evidence that ERdj5 induces ER stress-regulated apoptosis, we targeted Bcl-2 to ER of ERdj5-overexpressing cells. Targeting the Bcl-2 to ER prevented the apoptosis induced by ER stress inducers but not by non-ER stress apoptotic stimuli, suggesting induction of ER stress-regulated apoptosis by ERdj5. ERdj5 enhanced apoptosis by abolishing the ER stress-induced phosphorylation of eukaryotic translation initiation factor 2␣ (eIF2␣) and the subsequent translational repression. ERdj5 was found to inhibit the eIF2␣ phosphorylation under ER stress through inactivating the pancreatic endoplasmic reticulum kinase. The compromised integrated stress response observed in ERdj5-overexpressing ERstressed cells due to repressed eIF2␣ phosphorylation correlated with impaired neuroblastoma cell resistance under ER stress. These results demonstrate that ERdj5 decreases neuroblastoma cell survival by down-regulating the UPR, raising the possibility that this protein could be a target for anti-tumor approaches.Accumulation of unfolded proteins in the lumen of the endoplasmic reticulum (ER), 2 a condition that produces ER stress, induces an intracellular signaling cascade named the unfolded protein response (UPR) (1, 2). The UPR relieves ER stress by inducing protein folding and degradation pathways and inhibiting protein synthesis (1). Upon ER stress, dissociation of the ER chaperone GRP78/BiP from the pancreatic endoplasmic reticulum kinase (PERK) activates PERK. Once activated, PERK phosphorylates the translation initiation factor eIF2␣, leading to inhibition of general protein translation (3). In addition to attenuating global protein synthesis, eIF2␣ phosphorylation promotes a stress-induced gene expression program. During the integrated stress response (ISR), specific mRNAs escape the translational repression, and the synthesis of transcription factors, such as ATF4, activates genes (CHOP and BiP) that promote stress resistance and cell survival (4 -6). ATF4 controls also the expression of GADD34, a subunit of the PP1-holophosphatase complex that dephosphorylates eIF2␣ promoting recovery from the translational inhibition during the UPR (7). Activation of the UPR can result in restoration of ER homeostasis; however, both persistent ER stress and failure of the adaptive response initiate ER-dependent apoptotic cascades (8).Although the UPR protects the cells from normal variations that occu...