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Apoptosis
Mohammed Fathy Bayomy, MSc, MD
Lecturer
Clinical Oncology & Nuclear Medicine
Faculty of Medicine
Zagazig University
Apoptosis
 Definition: Apoptosis is defined as a distinctive active, genetically
programmed cell death which eliminates unwanted cells. Literally,
apoptosis in Greek language means falling of leaves of trees in winter
 Character
* May be physiological or pathological
* Resulting from mild injuries
* Affects single isolated cells
* Nonviable cell constituents shrink &
are enclosed by cell membranes, 
absence of inflammatory reaction
 Pathogenesis: enzymes are activated by calcium ions, cytochrome-C,
Apaf-1 & ceramide
* Enzymatic cleavage of cytoskeleton protein by cysteine proteases
(caspases)
* Protein cross-linking by transglutaminases
* Cleavage of DNA by several agents, including enzymes
endonuclease
 Pathways: two enzymes activation pathways
1) Extrinsic (Death receptor) pathway
FAS ligand (soluble or membrane-bound) will bind to FAS cell
membrane receptor or cytokine tumor necrosis factor (TNF) will bind to
its receptor (TNFR) on cell membrane  activation of membrane-bound
protein FADD  caspase activation
2) Intrinsic (Mitochondrial integrity) pathway
Increase of mitochondrial permeability  release of calcium &
cytochrome-C from mitochondria to cytosol  assembly of apoptotic
protease activating factor (Apaf-1)  activates caspases
Genetic control of Apoptosis
 Bcl-2 family members are decision-makers that integrate pro-apoptotic
and anti-apoptotic signals to determine whether cell should commit
suicide
1) Anti-apoptotic Bcl-2 type proteins
* Including Bcl-2, Bcl-xL, Bcl-wL
* Two ways of antagonizing death signals
- They insert into outer mitochondrial membrane to antagonize
channel-forming pro-apoptotic factors  cytochrome c release
- Bind cytoplasmic Apaf so that it cannot form apoptosome complex
2) Pro-apoptotic Bcl-2 type proteins
* Pro-apoptotic ion channel forming members (Bax, Bak, Bok,
Bcl-xs) when they dimerize with pro-apoptotic BH3-only members
in outer mitochondrial membrane, they form an ion channel that
promotes cytochrome c release rather than inhibiting it
* Pro-apoptotic BH3-only proteins (Bad, Bid, Bom/Bim) activates
pro-apoptotic family members (Bax) & inactivates anti-apoptotic
members (Bcl-2)

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Apoptosis

  • 1. Apoptosis Mohammed Fathy Bayomy, MSc, MD Lecturer Clinical Oncology & Nuclear Medicine Faculty of Medicine Zagazig University
  • 2. Apoptosis  Definition: Apoptosis is defined as a distinctive active, genetically programmed cell death which eliminates unwanted cells. Literally, apoptosis in Greek language means falling of leaves of trees in winter  Character * May be physiological or pathological * Resulting from mild injuries * Affects single isolated cells * Nonviable cell constituents shrink & are enclosed by cell membranes,  absence of inflammatory reaction
  • 3.
  • 4.  Pathogenesis: enzymes are activated by calcium ions, cytochrome-C, Apaf-1 & ceramide * Enzymatic cleavage of cytoskeleton protein by cysteine proteases (caspases) * Protein cross-linking by transglutaminases * Cleavage of DNA by several agents, including enzymes endonuclease  Pathways: two enzymes activation pathways 1) Extrinsic (Death receptor) pathway FAS ligand (soluble or membrane-bound) will bind to FAS cell membrane receptor or cytokine tumor necrosis factor (TNF) will bind to its receptor (TNFR) on cell membrane  activation of membrane-bound protein FADD  caspase activation
  • 5. 2) Intrinsic (Mitochondrial integrity) pathway Increase of mitochondrial permeability  release of calcium & cytochrome-C from mitochondria to cytosol  assembly of apoptotic protease activating factor (Apaf-1)  activates caspases
  • 6. Genetic control of Apoptosis  Bcl-2 family members are decision-makers that integrate pro-apoptotic and anti-apoptotic signals to determine whether cell should commit suicide 1) Anti-apoptotic Bcl-2 type proteins * Including Bcl-2, Bcl-xL, Bcl-wL * Two ways of antagonizing death signals - They insert into outer mitochondrial membrane to antagonize channel-forming pro-apoptotic factors  cytochrome c release - Bind cytoplasmic Apaf so that it cannot form apoptosome complex
  • 7. 2) Pro-apoptotic Bcl-2 type proteins * Pro-apoptotic ion channel forming members (Bax, Bak, Bok, Bcl-xs) when they dimerize with pro-apoptotic BH3-only members in outer mitochondrial membrane, they form an ion channel that promotes cytochrome c release rather than inhibiting it * Pro-apoptotic BH3-only proteins (Bad, Bid, Bom/Bim) activates pro-apoptotic family members (Bax) & inactivates anti-apoptotic members (Bcl-2)