This document discusses apoptosis, or programmed cell death. It begins with an introduction to apoptosis, describing its role in development and disease prevention. It then covers the mechanisms of apoptosis, including the extrinsic and intrinsic pathways. Part 3 discusses how apoptosis helps eliminate infected or cancerous cells. Finally, Part 4 outlines several methods for detecting apoptosis, such as assays measuring plasma membrane alterations, caspase activation, mitochondrial changes, DNA fragmentation, and cytochrome C release.
3. Part 1 Introduction — 3 —
Creative Bioarray
Apoptosis removes cells during
development, eliminates potentially
cancerous and virus-infected cells, and
maintains balance in the body.
Apoptosis is a form of programmed
cell death, or “cellular suicide.”
Apoptosis is an orderly process in
which the cell’s contents are
packaged into small packets of
membrane for “garbage collection”
by immune cells.
4. 余世维
Morphology of Apoptosis
Morphologically, apoptosis is first
characterized by a change in the refractive
index of the cell followed by cytoplasmic
shrinkage and nuclear condensation. The cell
membrane begins to show blebs or spikes
(protrusions of the cell membrane),
depending on cell type and eventually these
blebs and spikes separate from the dying cell
and form "apoptotic bodies".
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Creative Bioarray
Part 1 Introduction
5. LOGO
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Apoptosis VS Necrosis
• Apoptosis
• Necrosis
• Apoptosis VS Necrosis
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Part 1 Introduction
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6. 余世维
Apoptosis
Pathway of cell death induced by a
tightly regulated suicide program.
Controlled by specific genes.
Fragmentation of DNA.
Fragmentation of nucleus.
Blebs form and apoptotic bodies are
released.
Apoptotic bodies are phagocytized.
No neutrophils.
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Creative Bioarray
Part 1 Introduction
7. 余世维
Necrosis
Morphologic expression of cell death.
Progressive disintegration of cell
structure.
Initiated by overwhelming stress.
Usually elicits an acute inflammatory
cell response (neutrophils may be
present).
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Creative Bioarray
Part 1 Introduction
8. — 8 —Introduction
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Part 1
Comparison of morphological features of apoptosis and necrosis
Apoptosis
(programmed cell suicide)
Necrosis
(uncontrolled cell death)
Size
Cellular shrinkage Cellular swelling
One cell affected Many cells affected
Uptake
Cell contents ingested by neighbouring
cells
Cell contents ingested by macrophages
No inflammatory response Significant inflammation
Membrane
Membrane blebbing, but integrity
maintained
Loss of membrane integrity
Apoptotic bodies form Cell lysis occurs
Organelles
Mitochondria release pro-apoptotic
proteins
Organelle swelling and lysosomal
leakage
Chromatin condensation and non-
random DNA degradation
Random degradation of DNA
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Creative Bioarray
Part 2 Mechanism
There are two major types of apoptosis
pathways, each of which illustrates an
important point about how apoptosis
is triggered and why it is useful.
Apoptosis pathway
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Creative Bioarray
Part 2 Mechanism
In the extrinsic pathway, a signal is
received from outside the cell instructing it
to commit programmed cell death. This
may occur if the cell is no longer needed,
or if it is diseased.
Extrinsic pathway
Like many pathways for bringing about
complex changes in a cell, the extrinsic
pathway to apoptosis involves many steps,
each of which can be up-regulated or down-
regulated by gene expression or by other
molecules.
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Creative Bioarray
Part 2 Mechanism
The intrinsic pathway is triggered by stress or
damage, which can lead the cell to apoptosis
include damage to its DNA, oxygen
deprivation, and other stresses that impair a
cell’s ability to function.
Intrinsic pathway
In response to these damages or stresses,
the cell “decides” that its continued
existence might be dangerous or costly to
the organism as a whole. It then activates a
set of proteins called “BH3-only proteins.”
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Creative Bioarray
Part 3 Disease
In some cases, a cell can pose a threat to the rest of the body if it survives, which may be the
case for cells with DNA damage, pre-cancerous cells, and cells infected by viruses.
When a cell’s DNA is damaged, it will typically detect the damage and try to repair it. If the
damage is beyond repair, the cell will normally send itself into apoptosis. When cells have DNA
damage but fail to undergo apoptosis, they may be on the road to cancer.
Sometimes, pre-cancerous cells manage to duck both internal and external cues that would
normally trigger apoptosis. This allows them to divide out of control and accumulate mutations
(changes in their DNA).
Apoptosis can eliminate infected or cancerous cells
13. LOGO
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Apoptosis Detection
• TUNEL
• Agarose Gel Electrophoresis
• Cytochrome C Release
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Part 4 Detection Methods
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• Plasma Membrane Alterations
• Caspase Activation
• Mitochondrial Changes
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Creative Bioarray
Part 4 Detection Methods
Plasma Membrane alterations Annexin V Apoptosis Assay1
Annexin V apoptosis assay is based on the
measurement of the loss of plasma membrane
asymmetry. Analysis is typically by flow cytometry.
Annexin V binds to phosphatidylserine, which
migrates to the outer plasma membrane in
apoptosis. Pair Annexin V with a membrane
impermeable dye like PI to distinguish
between intact, apoptotic, and necrotic cells.
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Creative Bioarray
Part 4 Detection Methods
Caspase Activation Caspase Activity Determination2
Caspases are synthesized as inactive precursors,
which are activated by proteolytic cleavage to
generate active enzymes.
The activation of caspases is a common and
critical regulator of the execution phase of
apoptosis, triggered by many factors, including
treatment with radio- and chemotheraputic
agents. Activation of caspases can be examined
through a variety of methods: colorimetric,
immunoblot, or immunohistochemical.
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Creative Bioarray
Part 4 Detection Methods
Mitochondrial Changes Mitochondrial Membrane Potential Assay3
Mitochondrial membrane potential (MMP) is an
important parameter of mitochondrial function that has
been used as an indicator of cell apoptosis.
Several cell membrane permeable fluorescent dyes,
such as rhodamine-123 (Rh-123), 3, 3′-
dihexyloxacarbocyanine iodide (DiOC6), 5,5’,6,6’-
tetrachloro-1,1’,3,3’-tetraethylbenzimi-
dazolylcarbocyanine iodide (JC-1), tetramethyl
rhodamine methyl and ethyl esters (TMRM and TMRE),
are currently available to measure changes in MMP.
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Creative Bioarray
Part 4 Detection Methods
Mitochondrial Changes Cytochrome C Release4
Mitochondrial cytochrome C has been found
to have dual functions in controlling both
cellular energetic metabolism and apoptosis.
Through interaction with
apoptotic protease activating factors (Apaf),
cytochrome C can initiate the activation
cascade of caspases once it is released into
the cytosol.
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Creative Bioarray
Part 4 Detection Methods
DNA Fragmentation TUNEL5
A hallmark of late apoptosis is extensive
genomic DNA fragmentation that generates a
multitude of DNA double-strand breaks (DSBs)
with accessible 3'-hydroxyl (3'-OH) groups.
TUNEL assays identify apoptotic cells by the
terminal deoxynucleotidyl transferase (TdT)-
mediated addition of labeled (X) deoxyuridine
triphosphate nucleotides (X-dUTPs) to the 3’-
OH end of DNA strand breaks that are
subsequently visualized depending on the
introduced.
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Creative Bioarray
Part 4 Detection Methods
DNA Fragmentation Agarose Gel Electrophoresis6
Apoptosis is associated with the fragmentation
of chromosomal DNA into multiples of the 180-
200 bp nucleosomal unit, known as DNA
laddering. In DNA laddering assay, small
fragments of oligonucleosomal DNA is
extracted selectively from the cells whereas the
higher molecular weight DNA stays associated
with the nuclei. The isolated DNA is separated
by electrophoresis and visualized using
ethidium bromide.