AUTHOR=Nguyen Thanh , Mills Jason C. , Cho Charles J. TITLE=The coordinated management of ribosome and translation during injury and regeneration JOURNAL=Frontiers in Cell and Developmental Biology VOLUME=Volume 11 - 2023 YEAR=2023 URL=https://www.frontiersin.org/journals/cell-and-developmental-biology/articles/10.3389/fcell.2023.1186638 DOI=10.3389/fcell.2023.1186638 ISSN=2296-634X ABSTRACT=Diverse acute and chronic injuries induce damage responses in the gastrointestinal (GI) system, and numerous cell types in the GI tract demonstrate remarkable resilience, adaptability, and regenerative capacity in response to stress or partial cell loss. Metaplasias, such as columnar and secretory cell metaplasia, are well-known adaptations that these cells make, the majority of which are epidemiologically associated with an elevated cancer risk. On a number of fronts, it is now being investigated how cells respond to injury at the tissue level, where diverse cell types that range in proliferation capacity and differentiation state cooperate and compete with one another to participate in regeneration. In addition, the cascades or series of molecular responses that cells show, especially in differentiated cells, are just beginning to be understood. This will facilitate the discovery of novel therapeutic targets for GI tract tumors. Ribosomes are ribonucleoprotein complexes that are essential for translation in the endoplasmic reticulum (ER) and cytoplasm. The highly regulated management of ribosomes as key translational machinery, and their crucial platform of rough ER, are not only essential for maintaining differentiated cell identity, but also for achieving successful cell regeneration after injury. This review will cover in depth how ribosomes, the ER, and translation are regulated and managed in response to injury (e.g., paligenosis), as well as why this is essential for the proper adaptation of a cell to stress. For this, we will first discuss the general stress responsive pattern of various cell types in multiple GI organs, followed by an overview of ribosome production, management, and degradation, as well as the factors that govern ribosomes and the ER during homeostasis and injury, and finally, how ribosomes and translation machineries are managed during injury.