Apoptosis II

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Last updated 10:39 PM on 3/24/26
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1
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Describe how cytochrome c activates caspase 9.

  1. Bax/Bak oligomer forms pore in OMM, releasing cytochrome c and Smac/Diablo.

  2. Cytochrome c binds Apaf1, which then leads to procaspase 9 cleavage and activation during the formation of the apoptosome. Activated caspase 9 = initiator caspase.

  3. Initiator caspase cleaves and activates executioner/effector procaspases 3/6/7.

  4. Active executioner/effector caspases cleave substrates.

2
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What are caspases, and what are the two functional classes?

Capases are proteases that used conserved cysteine residues in their active site to cleave proteins after aspartate residues.

  • Initiator caspases: Caspase-8, caspase-9

    • When active, can cleave effector procaspases to activate them

  • Effector caspases: Caspase-3, caspase-6, caspase-7

3
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How do IAPs (inhibitors of apoptotic proteins) negatively regulate/inhibit caspases?

  1. Simply bind to procaspases to inhibit them – BIR domain on IAPs bind and inhibit procaspases

  2. Could act as E3 ubiquitin ligases to target procaspases for proteasomal degradation – RING domain on IAPs interact with ubiquitin machinery

Thus, IAPs protect against unintended procaspase activation.

Remember, during intrinsic pathway activation, Smac/Diablo is released alongside cytochrome c, which inhibits IAPs so that apoptosis can occur (procaspases not subject to proteasomal degradation).

4
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What are the 5 types of death receptors (DR) involved in the extrinsic pathway? What are the advantages to death receptors?

FAS, DR3, DR4, DR5, TNFR1

FAS receptor: Expressed in many cells (ie. activated T and B lymphocytes, macrophages, liver, spleen, lung, testis, brain, ovaries, intestines, heart).

  • However, FasL (Fas ligand) expression is tightly regulated. Primarily induced in T/B lymphocytes, macrophages, and NK cells.

Advantage: Clear unneeded lymphocytes post-infection. Lymphocytes that are repeatedly stimulated by antigens upregulate both FAS and FasL to promote their own and each other’s demise (ie. autocrine and paracrine apoptosis). The same goes for cytotoxic T cells and NK cells.

5
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Describe the steps of the general extrinsic/death receptor/”instructed to die” pathway.

  1. FasL (from another cell) binds Fas.

  2. Fas-FasL recruits FADD protein via homotypic interactions between death domains in both Fas and FADD.

  3. DEDs in FADD recruit initiator procaspase 8 or 10, which activate downstream effector procaspases. FADD acts as a scaffold to bring two initiator procaspases in close enough proximity for their auto-activation – important, as it bypasses the need for cytochrome c to be released.

6
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What is the DISC complex?

Death-inducing signaling complex: Composed of death receptor + FADD + initiator caspase → this entire complex allows activation of effector caspases, triggering the caspase cascade.

7
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Given the intrinsic and extrinsic pathways. What are the potential strategies for restoring apoptosis in cancer cells?

  1. Inhibiting pro-survival Bcl-2 proteins using BH3 only protein mimetics (ie. Venetoclax)

  2. Inhibiting IAPs using Smac/Diablo mimetics (ie. IAP inhibitors)

  3. Indirect way: Inhibit the PI3K pathway and hence Akt activity so that Bad (a BH3 only protein) can drive apoptosis.

  4. Identify death receptor ligands for receptors preferentially expressed on tumor cells

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