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What is the main purpose of cell death?
To remove damaged, infected, or unnecessary cells and maintain tissue homeostasis
What type of balance does cell death help maintain?
Balance between cell death and proliferation
What are the two main types of cell death?
Apoptosis and necrosis
Is apoptosis energy dependent?
Yes
Is necrosis energy dependent?
No
Which type of cell death causes inflammation?
Necrosis
Which type of cell death is typically non-inflammatory?
Apoptosis
What protein family regulates mitochondrial apoptosis?
Bcl-2 family
What is the key pro-apoptotic transcription factor activated by DNA damage?
p53
What mitochondrial proteins are activated by p53 to initiate apoptosis?
Bax and Bak
What anti-apoptotic proteins are inhibited by p53?
Bcl-2 and Bcl-XL
What happens after Bax and Bak insert into the mitochondrial membrane?
Cytochrome c is released
What does cytochrome c activate?
Caspase cascade
What are examples of executioner caspases?
Caspase-3 and caspase-8
What is the primary trigger for extrinsic apoptosis?
Binding of death ligands like TNF-alpha or Fas ligand to death receptors
What are the death receptors involved in extrinsic apoptosis?
TNFRs (Tumor Necrosis Factor Receptors)
What proteins form pores in the target cell membrane during immune-mediated apoptosis?
Perforin
What proteins enter through pores to activate apoptosis?
Granzymes
What surface signal allows phagocytes to recognize apoptotic cells?
Flipped phosphatidylserine
What is necroptosis?
A programmed, lytic form of inflammatory cell death
What is pyroptosis?
A form of inflammatory cell death triggered by infections
What is ferroptosis?
Iron-dependent cell death involving oxidative stress
What can TNF binding to TNFR1 lead to?
Inflammation, lytic cell death, or barrier damage
What are DAMPs?
Damage-associated molecular patterns released by dying cells
What is the process of engulfing dying cells called?
Phagocytosis
What does NADPH oxidase generate during phagocytosis?
Reactive oxygen species (ROS)
What does the phagosome fuse with to form a phagolysosome?
Lysosome
What is the purpose of the phagolysosome?
To digest the contents of the engulfed cell
What is autophagy?
Self-digestion of cellular debris and organelles
What is heterophagy?
Digestion of external material taken up by phagocytosis
What are the three types of autophagy?
Microautophagy, macroautophagy, and chaperone-mediated autophagy
What happens in microautophagy?
Lysosome folds inward to engulf cellular material
What happens in macroautophagy?
Autophagosome forms and fuses with lysosome
What does chaperone-mediated autophagy do?
Shuttles proteins across the lysosomal membrane for digestion
How does autophagy contribute to immunity?
By delivering intracellular pathogens and antigens for degradation and presentation
What receptor is triggered by viral RNA during autophagy?
TLR7
What does TLR7 activation lead to?
Type I interferon production