Professor Campbell GourlayChapter 18 - Molecular Biology of the Cell (Alberts)
Etymology: The term "apoptosis" is derived from the ancient Greek words "apo" (meaning "from") and "ptosis" (meaning "falling").
Coined in 1972 by Andrew H. Wyllie and John Kerr. This term encapsulates the understanding of a crucial biological process involving programmed cell death.
Related Historical Meanings:
James Cormack: Interested in the natural phenomenon of "the falling off of petals from a flower" or leaves from a tree, linking to the life cycle of plants.
Hippocrates: Described apoptosis as "the falling off of the bones," indicating an early understanding of cellular demise.
Galen: Noted it as "the dropping of the scabs," showcasing an early medical observation of the body’s processes relating to healing and decay.
Necrosis:
Typically triggered by acute injuries (such as infection or trauma) leading to cell swelling, membrane rupture, and subsequent spilling of cell contents into the surrounding tissue, inciting inflammation.
The inflammatory response can lead to further tissue damage and chronic inflammation.
Apoptosis:
A physiological process of programmed cell death characterized by a series of morphological and biochemical changes. Cells undergo shrinkage, chromatin condensation, and fragmentation into apoptotic bodies that are swiftly cleared by nearby phagocytic cells.
Comparison:
Apoptosis: A controlled, energy-dependent, and non-inflammatory process, considered a vital mechanism for cellular turnover and homeostasis.
Necrosis: A disorganized, uncontrolled, and inflammatory process associated with significant damage to surrounding tissues.
Apoptosis plays a critical role in maintaining cell and tissue homeostasis. It ensures proper tissue dynamics, preventing excessive cell proliferation that could lead to conditions such as cancer.
For instance, in an 80-year-old, a lack of apoptosis would result in the accumulation of excessive bone marrow and lymphoid cells, potentially leading to pathological conditions.
Critical Functions:
Prevention of cancer by eliminating genetically damaged or dysfunctional cells.
Adaptation during various disease processes, helping the body maintain equilibrium.
On average, 50-70 billion cells are eliminated daily through this finely tuned system, underscoring its significance in overall health.
Numerous factors can initiate apoptosis, including but not limited to:
Withdrawal of growth factors necessary for cell survival.
DNA damage from environmental stresses, such as UV light exposure (e.g., sunburn).
Disruption of cytoskeletal integrity, often induced by chemotherapeutic agents.
Endoplasmic reticulum (ER) dysfunction due to unfolded protein response.
Oxidative stress from free radicals leading to cellular injury.
Tissue ischemia followed by reperfusion injury, commonly seen post-heart attacks.
Apoptosis is essential during various stages of development, including:
Metamorphosis: E.g., the transformation of a tadpole into a frog wherein certain cells must be eliminated for others to develop.
Tissue and organ formation: Critical events like digit formation depend on apoptotic cell death to sculpt anatomical structures.
Nervous system development: Key for the pruning of neurons, ensuring proper wiring and function of the nervous system.
The C. elegans model organism has provided pivotal insights into apoptosis. Robert Horvitz identified key "cell death genes" (Ced genes) essential for regulating this process.
Notably, a consistent pattern was observed where 131 specific cells undergo apoptosis during development, highlighting an organized and programmed aspect of cellular life cycles.
Caspases are a family of cysteine proteases that serve as the main effectors in apoptosis.
Initiator caspases: Such as caspase-8 and caspase-9, play a role in the initial activation of downstream executioner caspases (e.g., caspase-3).
A cascade of signals is amplified through this pathway, leading to organized cellular dismantling.
Distinct morphological changes associated with apoptosis include:
Membrane blebbing: The outer membrane begins to bulge (blebs out) as phospholipids within the membrane undergo flipping.
Changes in nuclear morphology: Including chromatin condensation and fragmentation.
Phagocytosis: Apoptotic bodies are recognized and engulfed by neighboring cells, preventing inflammation and maintaining tissue integrity.
Intrinsic Pathway:
Involves mitochondrial outer membrane permeabilization (MOMP), where cytochrome c is released and activates apoptosomes that subsequently recruit and activate caspases.
Extrinsic Pathway:
Initiated through death receptors located on the cell surface which, upon activation, can induce MOMP via proteins like Bid, thus integrating both intrinsic and extrinsic signals.
Extracellular signals that inhibit apoptosis play essential roles by:
Increasing the production of survival factors that help cells resist apoptosis.
Inactivating apoptotic proteins such as Inhibitor of Apoptosis Proteins (IAPs) and pro-apoptotic members of the Bcl2 family.
These survival factors are particularly critical during neurodevelopment, ensuring that essential neuronal populations are not lost to excessive apoptosis.
Apoptosis is a highly regulated process, distinct from necrosis, governed by complex genetic and biochemical pathways.
It can be triggered through both intrinsic and extrinsic signaling pathways that converge to execute programmed cell death.
This process is vital for maintaining proper cell numbers, facilitating immune responses, and preserving tissue homeostasis under physiological conditions.
Understanding apoptosis has broad implications for treatment strategies in cancer, neurodegenerative diseases, and regenerative medicine.