| ATF3 (activating transcription factor 3) is a stress-inducible member of the ATF/CREB bZIP transcription factor family, encoded by a gene with four exons that produces a 181-amino-acid protein. It functions as a multifunctional hub in cellular adaptive responses by forming homo- or heterodimers to either repress or activate target genes depending on the cellular context. ATF3 contains an N-terminal acidic transactivation domain rich in Asp and Glu residues for coactivator recruitment, a central basic DNA-binding region that recognizes ATF/CRE consensus sites such as TGACGTCA, and a C-terminal leucine zipper for dimerization, characterized by heptad repeats with hydrophobic leucines at the ‘d’ positions. Key post-translational modifications, like SUMOylation at Lys42, enhance protein stability and proliferation, while flexible linker regions provide conformational adaptability. ATF3 integrates a variety of stress signals, including cytokines, genotoxins, UV radiation, and cAMP, primarily via AP-1, NF-κB, and JNK pathways, to transcriptionally repress pro-inflammatory genes (such as IL-6, TNF-α, and MMP-1 in macrophages), promote cell survival (by repressing Bak/Bax after TLR activation), and modulate metabolism and immunity. Formation of heterodimers with JunB or c-Fos amplifies gene inhibition, whereas homodimerization confers gene repression. ATF3 fine-tunes the resolution of inflammation, regulates macrophage polarization (M1/M2 balance through Wnt/β-catenin signaling), maintains apoptosis equilibrium, and modulates oncogenesis, acting as a tumor suppressor in skin and lung cancers by reducing proliferation, or as an oncogene in breast cancer and glioma by increasing chemoresistance through ABCB1/m6A mechanisms. Its disease relevance encompasses atherosclerosis (where it is repressed by FOXP3 in regulatory T cells), various cancers (including tamoxifen resistance via YTHDF2), autoimmunity, and neurodegeneration, with its expression regulated by mRNA stabilizers such as HuR/Egr-1 and microRNAs like 27b-3p. |