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CHAP16.APOPTOSIS INTRODUCTION Apoptosis or programmed cell death, is carefully coordinated collapse of cell, protein degradation, DNA fragmentation followed by rapid engulfment of corpses by neighbouring cells. (Tommi, 2002) Essential part of life for every multicellular organism from worms to humans. (Faddy et al.,1992) Apoptosis plays a major role from embryonic development to senescence. WHY SHOULD A CELL COMMIT SUICIDE? Apoptosis is needed for proper development Examples: The resorption of the tadpole tail The formation of the fingers and toes of the fetus The sloughing off of the inner lining of the uterus The formation of the proper connections between neurons in the brain Apoptosis is needed for self defense Examples: Cells infected with viruses Cells of the immune system Cells with DNA damage Cancer cells Apoptosis in physiologic situations Programmed cell death during embryogenesis Formation of free and independent digits Development of the brain Development of reproductive organs WHAT MAKES A CELL DECIDE TO COMMIT SUICIDE? Withdrawal of positive signals examples : growth factors for neurons Interleukin-2 (IL-2) Receipt of negative signals examples : increased levels of oxidants within the cell damage to DNA by oxidants death activators : Tumor necrosis factor alpha (TNF-) Lymphotoxin (TNF-β) Fas ligand (FasL) CAUSES OF CELL DEATH: Cell death by injury -Mechanical damage -Exposure to toxic chemicals Cell death by suicide -Internal signals -External signals HISTORY OF CELL DEATH / APOPTOSIS RESEARCH 1800s 1908 1930-40 1948-49 1955 1964-66 1971 1977 1980-82 1989-91 Numerous observation of cell death Mechnikov wins Nobel prize (phagocytosis) Studies of metamorphosis Cell death in chick limb & exploration of NGF Beginning of studies of lysomes Necrosis & PCD described Term apoptosis coined Cell death genes in C. elegans DNA ladder observed & ced-3 identified Apoptosis genes identified, including bcl-2, fas/apo1 p53, ced-3 sequenced (Richerd et.al., 2001) NECROSIS VS. APOPTOSIS Necrosis • • • • Cellular swelling Membranes are broken ATP is depleted Cell lyses, eliciting an inflammatory reaction • DNA fragmentation is random, or smeared • In vivo, whole areas of the tissue are affected Apoptosis Cellular condensation Membranes remain intact Requires ATP Cell is phagocytosed, no tissue reaction Ladder-like DNA fragmentation In vivo, individual cells appear affected NECROSIS VS APOPTOSIS Wilde, 1999 STAGES OF APOPTOSIS Induction of apoptosis related genes, signal transduction Sherman et al., 1997 APOPTOSIS: Morphology organelle membrane blebbing & changes reduction cell mitochondrial leakage shrinkage nuclear fragmentation chromatin condensation Hacker., 2000 APOPTOSIS: Morphological events cell shrinkage organelle reduction mitochondrial leakage chromatin condensation nuclear fragmentation membrane blebbing & changes Blebbing & Apoptotic bodies Bleb The control retained over the cell membrane & cytoskeleton allows intact pieces of the cell to separate for recognition & phagocytosis by MFs Apoptotic body MF MF Mechanisms of Apoptosis The fundamental events in apoptosis is the activation of enzymes called CASPASES Caspases • Cysteine proteases • Cysteinedependent ASPartate-specific proteASES APOPTOSIS: PATHWAYS “Extrinsic Pathway” Death Ligands Death Receptors “Intrinsic Pathway” DNA damage & p53 Mitochondria/ Cytochrome C Initiator Caspase 8 Effector Caspase 3 Initiator Caspase 9 PCD INITIATION • Absence of stimuli - hormones, growth factors • Activation of receptors – TNF family • Heat ,radiation, chemicals • Genetically programmed events PATHWAY OF APOPTOSIS Initiation • Intrinsic pathway • Extrinsic Pathway • Cleavage of DNA Execution Phagocyt-osis • Engulfment of cell Mitochondrial pathway • Intrinsic pathway The death receptor pathway • Extrinsic pathway Mitochondrial pathway • Intrinsic pathway Mitochondria BAX BAK BOK BCL-Xs BAD BID B IK BIM NIP3 BNIP3 BCL-2 BCL-XL BCL-W MCL1 BFL1 DIVA NR-13 Several viral proteins • Extrinsi c pathwa y The death receptor pathway Bcl-2 family members A very large family with 30 members identified and belongs to both BH1, BH2,BH 3 Antiapoptotic Proapoptotic BH1, BH2,BH3,B H4 Bid Bim Bik Bad Bmf Hrk Noxa BH Puma 3 Blk BNIP3 Spike MAJOR PLAYERS IN APOPTOSIS • • • • Caspases Adaptor proteins TNF & TNFR family Bcl-2 family LIGAND-INDUCED CELL DEATH Ligand Receptor FasL TNF TRAIL Fas (CD95) TNF-R DR4 (Trail-R) LIGAND-INDUCED CELL DEATH “The death receptors” FasL Ligand-induced trimerization Trail TNF Death Domains Death Effectors Induced proximity of Caspase 8 Activation of Caspase 8 APOPTOSIS: Signaling & Control pathways I Externally driven Apoptotic signals p53 Internally Cytochrome C driven Externally driven Activators of initiator enzymes Initiator caspases mitochondrion 6, 8, 9,12 Execution caspases 2, 3, 7 Apoptosis events Activation APOPTOSIS: Signaling & Control pathways II Externally driven Apoptotic signals p53 Internally Cytochrome C Bcl2 driven Externally driven Inhibitors Activators of initiator enzymes Initiator caspases 6, 8, 9,12 External Survival Internal factors Execution caspases 2, 3, 7 Apoptosis events Inhibitors of apoptosis Inhibition The mitochondrial pathway DNA Fas damage Casp8 p53 Growth factor receptors PI3K Bid Bid Bax Bid Bax Akt casp3 BAD Bcl2 casp9 Apaf1 ATP Cyt.C IAPs casp3 Smac/ DIABLO H2O2 AIF Pollack etal., 2001 Importance of Apoptosis • Important in normal physiology / development – Development: – Immune system maturation – Morphogenesis – Neural development – Adult: – Immune privilege – DNA Damage – Wound repair. INACTIVATING P53 PATHWAY IN CANCER P53 INACTIVATION IN HUMAN CANCER • p53 mutations can be found in 50% of human cancers, but their penetrance is highly heterogeneous, as reflected by the diverse remaining transactivation activity that ranges from O to 100%. • Various DNA viruses, such as SV40, HPV or adenoviruses, encode proteins that target p53 protein. • mdm2 accumulation is found in numerous cancers, such as sarcoma or breast carcinomas. • PTEN, a p53 regulated gene, is mutated in various types of cancer including glioblastoma. • Although no mutation of AKT has been found in human cancer, constitutive activation of its kinase activity has been observed via deregulation of the upstream pathway. • Mutations in various pathways upstream of p53 (ATM, p19ARF or Hcdk2 gene) can be observed in various types of cancer. Immune system maturation: Positive selection of thymocytes in the thymus. Thymic selection involves thymic stromal cells (epithelial cells, dendritic cells, and macrophages), and results in mature T cells that are both self-MHC restricted and self-tolerant. Immune system maturation: Negative selection of thymocytes in the thymus. Thymic selection involves thymic stromal cells (epithelial cells, dendritic cells, and macrophages), and results in mature T cells that are both self-MHC restricted and self-tolerant. Morphogenesis: Molecular basis: Morphogens Transcription factors Cell adhesion molecules Cellular basis: Cell-cell adhesion Cell contractility Extracellular matrix Apoptosis Immune Privilege: Fas-ligand (FasL; also called CD95L or Apo-1L) required for tissues to display a privileged status FasL functions to induce apoptotic cell death in most cells that express its receptor, Fas. Fas-bearing cells include cells of the immune system Tissues that naturally express FasL kill infiltrating lymphocytes and inflammatory cells. DNA Damage Ionizing Radiation, Carcinogens & Mutagens Role of apoptosis In maintaining Integrity of genomic DNA in normal cells DNA Damage p53 activated and binds to DNA Transcriptional Up-Regulation of Target Genes p21 GADD45 BAX (CDK inhibitor) (DNA repair) (apoptosis gene) G1 Arrest Successful repair Repair fails APOPTOSIS Disruption of apoptosis Two major ways: Inappropriate activation of the apoptotic process Immune defect in AIDS Neurodegenerative diseases. Inadequate apoptosis Cancer Chronic inflammatory conditions Autoimmune diseases. Immune defect in AIDS Profound reduction in the population size of CD4 + T helper cells Caused by excessive apoptosis Process includes transfer of regulatory viral gene products (such as HIV-1 Tat) from HIV infected cells to bystander T cells Renders them susceptible to T cell receptorinduced, CD95-mediated apoptosis. Neurodegenerative Disease Apoptosis triggered by amyloid β neurotoxic abnormal protein structures or aggregates In adult neurodegenerative diseases including Alzheimer's Huntington's chorea Parkinson's disease, Amyotrophic lateral sclerosis Amyloid β can exert neurotoxic effects by generation of intracellular oxidative stress increases in calcium ions Both of these can trigger apoptosis in susceptible cell types. The bcl-2 family N BH4 BH3 BH1 Receptor domain Ligand Pore domain formation phosphorylation Raf-1 calcineurin BH2 TM C Membrane anchor Group I Bcl-2 Group II bax Group III Bad bid bik Back P53 & Apoptosis p53 first arrests cell growth between G1 S This allows for DNA repair during delay If the damage is too extensive then p53 induces gene activation leading to apoptosis (programmed cell death) BACK Cells are balanced between life and death DAMAGE Physiological death signals sclero dinesh DEATH SIGNAL ANTIAPOPTOTIC PROTEINS (dozens!) PROAPOPTOTIC PROTEINS (dozens!) DEATH