Cell Death Flashcards
Mechanism of extrinsic pathway of apoptosis
- trigger by binding of ligand to death-R (TNF-R) with Fas (CTL has FasL = recognize self-AG = eliminate self-reactive apopto) -> Fas + FasL = FADD bind procaspase 8 -> caspase 8 -> caspase 3-6-7-12 (effector) -> apoptosis
Mechanism of intrinsic apoptotic pathway (mitochondrial)
trigger by DNA damage/damage of cytocavitary network -> MOMP -> cytochrome C in cytosol -> binds APAF-1 -> apoptosome formation and activation -> caspase 9 -> caspase 3-6-7-12 -> apoptosis
Consequences of increase cytosolic calcium in cell injury
- Mitochondrial permeability transition = baisse ATP
- Activation enzyme
a) ATPase = baisse ATP
b) endonuclease = nuclear damage
c) protease = disrupt membrane and cytoskeleton protein
d) phospholipase = baisse phospholipids (membrane)
Autophagy mechanism
- Isolation membrane encloses cytosolic debris (arise from portions of cell membranes within cell (not plasma membrane))
- Autophagosome transport in cytosol vvia microtubules
- SNARE-like protein = attachement protein to lysosome
- Autophagosolysosome
By what are pyrine and pyrimidine bound
hydrogen
Repair mechanisms of DNA injury
- Base excision repair = at any point in cycle
- Nucleotide excision repair = mends DNA damaged by chemicals, UV, radiation and other mutagens that causes DNA adducts (DNA covalently bound to chemicals)
- DNA miscmatch repair = mends erroneous indels, or mismatch base pair
What are the features of necrosis?
Enlarged cell (swelling)
Pycnosis, karryorhexis, karyolysis
Plasma membrane disrupted
Enzymatic digestion of cell contents (moth eaten apparence)
Cytoplasm red = loss of RNA
Adjacent inflammation
Usually pahologic
What are the features of apoptosis?
Reduced cell size
Fragmentation of nucleus
Intact cell membrane
Intact cell content, possible apoptotic bodies
No inflammation
Often physiological (also CTL in viral infection)
What do these leaked IC proteins indicate :
1. troponin
2. alkaline phosphatase
3. transaminase
- troponin = cardiac muscle cell
- alkaline phosphatase = bile duct epithelium
- transaminase = hepatocytes
Anti-apoptotic elements in mitochondrial pathway of apoptosis
BCL2, BCLX, MCL1 = resides in mitochondria outer membrane = prevent leakage
Pro-apoptotic elements in mitochondrial pathway of apoptosis
BAX, BAK (BH1-2) activation = oligomerize with membrane = permeability
Regulated apoptosis initiators : BAD, BID, BIM, Puma, Noxa (BH3 only proteins) = sense stress and damage activates BAX/BAD OR bind anti-apopto to block function
Role of Smac/DIABLO
enter cytoplasme and neutrolize anti-apopto (IAP)
Inhibition of extrinsic pathway of apoptosis
Inhibited by FLIP = binds caspase 8 = blocks FADD
some virus produce FLIP
Morphology and mechanism of necroptosis
Morpho = similar to necrosis
Mechanism similar to apoptosis (caspase independant) = ligation of TNF-Fas recruits RIPK1, RIPK3 -> phospho MLKL -> translocate from cytosol to plasma membrane = disrupt = necrosis
What is ferroptosis
Excessive IC Fe or ROS = overwhelm glutathione antioxydant = membrane lipid peroxidation = permeable = necrosis
Consequences of mitochondrial damage
- ATP depletion (5-10% = widespread effect)
- Na/K ATPase reduced = Na enter, K sort = appel d’eau = swelling
- Cellular metabolism hausse glycogenolysis = depletion of glycogen = anaerobic = lactic acid = baisse pH = decrease activity of many enzymes
- Incomplete phosphorylation = form ROS
- Leakage of mitochondrial prots by BAX/BAK
What does damage to DNA trigger?
trigger p53 = cell arrest in G1 + active DNA repair mechanisms
if repair fails = apoptosis via mitochondrial pathway
O2 (superoxide anion) :
1. Production
2. Inactivation
3. Pathological effects
- Production : incomplete reduction of O2 during oxidative phosphorylation and phagocyte oxiddase in leucocytes
- Inactivation : by SOD
- Pathological effects :
Production of degradation enzymes in leucocytes
directly damage lipids, proteins, DNA
H2O2 (hydroxyde perodxide) :
1. Production
2. Inactivation
3. Pathological effects
- Production : generated by SOD from O2 and by oxidase in peroxisomes
- Inactivation : catalase (peroxisome), glutathione peroxidase (cytosol, mito)
- Pathological effects :
Destroy microbes and cells
Can act distant from site of production
OH (hydroxyl radical) :
1. Production
2. Inactivation
3. Pathological effects
- Production : generated by hydrolysis (radiation) and by Fenton reaction
- Inactivation : glutathione peroxidase
- Pathological effects : most reactive ROS
damage lipids, proteins, DNA
ONOO- (peroxynitrite) :
1. Production
2. Inactivation
3. Pathological effects
- Production : NO synthase in many cell types
- Inactivation : peroxiredoxins (cytosol, mito)
- Pathological effects :
damage lipids, proteins, DNA
Different type of SOD and their localisation
Manganese-SOD = mitochondria
Copper-zinc-SOD = cytoplasm
Pathological effects of ROS
Lipid peroxidation in membranes
Oxidative modification of proteins
Lesions in DNA
Trigger necrosis, apoptosis
Hypoxia vs ischemia
Hypxia = anaerobic glycolysis continue, bloodflow maintained
Ischemia = reduced flow = baisse glycolysis = more severe and rapid damage
What is the protective response in hypoxic stress?
Induction of transcription factor (HIF1) = promotes angiogenesis (VEGF) = stimulates cell survival, enhance glycolysis
How can hypothermia help in ischemic brain/spinal injury?
Reduces metabolic demand of stressed cells
Decrease swelling
Suppression of ROS
Inhibits inflamm response
Mechanism of reperfusion injury
- oxydative stress
- Ca2+ overload
- Inflammation (neutrophils influx)
- Complement activation (IgM deposit in ischemic tissu)
Mechanisms of hypertrophy
- Mechanical sensors detect increase workload
- Activate downstream signal -> PI3K/AKT and GPCR pathways
- stimule increase production of growth factor (TGFB, IGF1) and vasoactive agents (a-adrenergic agonists, endothelin-1, angiotensin II)
- Actovate transcription factors (GATA4, NFAT, MEF2) = increase gene expression that encodes muscle proteins
Mechanism of atrophy
- Decrease protein synthesis
- Increase protein degradation (ubiquitin-proteasome pathway = target cell for proteasome)
- Autophagic vacuole = residual bodies = lipofuscine granules
Is metaplasia a change in phenotype?
NON
4 mechanisms leading to intracellular accumulations
- Inadequate removal (defect in package, transport)
- Accumulation of endogenous substance (defect in folding, transport)
- Failure to degrade (enzyme deficiencies)
- Depostion of abnormal exogenous substance (no enzyme activity to degrade or transport)
What is Niemann-Pick disease?
Lysosomal storage dz caused by mutations affecting enzyme involved in cholesterol trafficking = accumulation
Mechanisms in protein accumulation
- Renal reabsorption (by pinocytosis, reversible)
- Excessive production = Russel bodies
- Defective IC transport and secretion
a) A1-antitrypsin deficiency = slow folding of proteins = partially folded aggregats in ER of hepatocytes - Accumulation of cytoskeletal proteins
- Aggregat of abnormal proteins (amyloidosis)
What does an accumulation of lipofuscine indicate?
Free radical injury
How is melanin formed?
When enzyme tyrosinase catalyze the oxidation of tyrosine to dihydroxyphenylalanine
Etiology of metastatic calcification
- increase secretion of PTH with bone resorption
- resorption of bone tissue (tumors)
- vitD disorders
- renal failure = retention P = hyperparathyroidisme secondaire
Predisposed accumulation in alkaline compartiment
Role of telomere
Ensure replication and protect from fusion and degradation
What mechanisms counteract cellular aging?
Baisse insulin/IGF signaling, baisse TOR, altered sirtuins -> altered transcription -> increase DNA repair and protein hemostasis
Insulin/IGF-1 signaling pathway
produced in response to growth hormones by pituitary gland
IGF1 = informs availability of glucose = promote anabolic state, growth and replication
downstream target = AKT, mTOR
Mechanism of sirtuins (NAD-dependant protein deacetylase)
promote expressio of several genes increasing longevity (inhibe metabolic activity, reduce apoptosis, stimule prots folding, conteract ROS)
increase insulin sensitivity and glucose metabolism