Cell Death Flashcards
What are the morphological characteristics of cell death?
Shrinkage
Membrane blebbing
Fragmentation
Nucleur condensation
How is apoptosis different from necrosis?
They are excreted so there is no inflammation
What gene is crucial for cell death in C.elegans?
CED3
Why is apotosis needed?
Proper embryonic development
For cells with sustained damage which cannot be repaired
Cells which have undergone senescence
It has outlived it’s usefulness
If it is required to maintain the normal physiological processes in an organism
How many cells die every second
One million cell die per second
Give 5 examples where apoptosis needs to occur to maintain the normal physiological processes of an organism
Shedding of the uterine lining
To remove mutations
The eye lens consists of apoptotic cells
Formation of the epidermis on the skin (protective dead skin layer)
Auto-reactive T cells which would kill healthy cells die before they reach the blood stream
What happens in Bax and Bak KO mice?
They cannot remove the skin between their paws
What happens to the brain of Caspase-9 KO mice?
They get an overgrowth of the brain
What is syndactyly?
Webbed feet and hands because the interdigital space fail to undergo apoptosis
What diseases are associated with too little apoptosis?
cancer
autoimmune diseases
viral infection
What diseases are associated with too much apoptosis?
Neurodegenerative diseases e.g. parkinsons
Viral infection e.g. HIV
Ischemic injury
What is ischemic injury?
Heart attack or strokes
How does apoptosis not induce inflammation?
The macrophages eat the dead cells
What are caspases?
Cysteine-dependent aspartate-directed phosphatases
Why are caspases so named?
The active site has a cysteine, which cleaves after aspartate residues
What are the two types of caspases?
Initiator
Executioner/ effector
What are the initiator caspases?
Caspases -8, -10, -9 and -2
What are the executioner caspases?
Caspase -3, -7 and -6
What is the function of initiator caspases?
They activate the executioner complexes through cleavage
What is the structure of initiator caspases?
they have a long prodomain that is important in their function
How are initiator caspases activated?
Autocatalytic processing triggered by co-factor binding and/ or oligomerisation
What is CAD?
caspase activated DNase
How does actin aid apoptosis induction?
cell rounding and shrinkage
How does acinus aid apoptosis induction?
Chromatin condensation
How does ICAD and PARP aid apoptosis induction?
DNA fragmentation
How does Gelsolin, ROCK-1 and PAK-2 aid apoptosis induction?
Membrane blebbing
How does Xkr8 aid apoptosis induction?
Externalisation of phosphatidyl serine on the plasma membrane
What is ICAD?
It is cleaved by caspases to activate CAD
What is CADs function?
Cleaves DNA between two nucleosomes
What is PARPs function?
Modifies histones by catalysing the formation of ADP-ribose and by binding to the DNA strands
How does CAD normally exist in a cell?
As an inactive complex with ICAD
What inhibits PARPs function to fix DNA damage?
cleavage by caspase 3
What is the function of lamins?
Maintain the shape of the nucleus
Mediate interactions between chromatin and the nuclear membrane
What caspase degrades lamins?
Caspase 6
What does lamin cleavage induce?
chromatin condensation and nuclear fragmentation
What is the extrinsic apoptosis pathway?
Ligand binds to Death receptor -> FADD -> caspase 8 -> caspase-3 -> apoptosis
What is the intrinsic apoptosis pathway?
Drug -> Cytochrome C -> Aparf-1 -> caspase-9 -> caspase-3 -> Apoptosis
What does the ligand do to the death receptor?
Trimerisation and then polymerisation of the receptor
Why is the death receptor altered?
To increase the affinity of FADD to the receptor
What does FADD binding to the receptor cause?
Increased caspase-8 affinity to FADD
What ligand binds to the death receptor?
FAS
How is cytochrome C released?
By mitochondria using ATP
What does cytochrome C binding to aparf1 do?
Changes the shape to adapt to a quaternary structure
What does aparf1 binding to caspase-9 cause?
Apoptosome formation
What is the apoptosome?
7 components of aparf-1, caspase-9 and cytochrome c
What is the activation platform for caspase8 called?
death-inducing signalling complex (DISC)
What is DISC?
The death receptor and FADD
What is FADD?
An adaptor protein
What is the function of caspase-9?
To convert pro-caspase-3 to caspase-3
How does cytochrome C leave the mitochondria?
Through apoptosis-inducing signals which cause mitochondrial outer membrane permeabilisation and therefore cytochrome C can exit
What is BCL-2?
A pro-survival signal
What are BAK and BAX?
Pro-apoptotic signals
What is BCL-2 function?
To inhibit cytochrome C release by inhibiting Bax
what is Bax/Bak function?
to stimulate cytochrome C release
What is BID, BIM and BAD?
BH3-only proteins
What is the difference between Bcl-2 anti-apoptotic and pro-apoptotic proteins?
Pro-apoptotic proteins do not have a BH4 domain
What is the function of BAD?
Binds to Bcl-2 to inhibit the oligomerisation of Bcl-2
What is the function of BIM?
Too bind to BAX and inhibit oligomerisation of Bcl-2
How do Bax and Bak directly permeabilise the mitochondrial outer membrane?
They oligomerise -> make MOMP -> form proteinaceous chanels and lipid pores for cytochrome C to move through
What happens in B cell lymphoma?
BCL-2 of chromosome 18 translocates onto chromosome 14
This enhances BCL-2 function
What is the function of Myc?
To increase proliferation and cause apoptosis
How do survival factors interact with Myc?
They inhibit their ability to cause apoptosis
What effect does the removal of p53 cause?
Inhibition of all apoptotic pathways since it controls the extrinsic and intrinsic pathway
As well as keeping cells alive, how else does apoptosis effect cancer cells?
Allows them to live in hypoxic and nutrient poor environments
Promote metastasis
What is anoikis?
when our cells in the body detach from membranes and other cells to undergo apoptosis
What mechanisms do cancer cells induce to avoid apoptosis?
Mutation in death ligands or receptors
some mutations of TP53
Expression of ‘decoy’ TRAIL receptors
Loss of caspases
Loss of pro-apoptotic Bcl-2 family members
Upregulation of IAPs
Upregulation of anti-apoptotic Bcl-2 family members
What are IAPs?
small proteins in the mitochondria
How can anti-apoptotic genes be altered?
Gene translocation
Amplification
Overexpression
How can pro-apoptotic genes be altered?
Genomic loss
Silencing
Mutation
Describe fragment based drug design
Identify chemical fragments that bind the protein of interest by NMR -> Low affinity -> Connect fragments together -> High affinity fragment -> drug
Name a BH3-mimic compound
Navitoclax
What is Navitoclax commonly used for?
Leukaemia to sensitise cells to apoptosis
Why isn’t navitoclax used as openly anymore?
Due to off target toxicities
How does navitoclax work?
Target platelets and stop the differentiation of cells and cause them to die
inhibits BCL-xL, Bcl-W and Bcl-2
What can venetoclax be used in combination for?
Increase BCL-2 priming
Target resistance factors
Mobilise tumour cells
How can venetoclax be used in combination to increase BCL-2 priming?
Add a priming agent, e.g. PI3Kdelta inhibitors, to BCL2 -> BCL-2 to bind to BIM -> Add venetoclax and BIM will bind to BAX and BAK -> Apoptosis
How can venetoclax be used in combination to target resistance factors?
Venetoclax will inhibit BCL-2
Add another agent e.g. JAK2 inhibitor, to block another anti-apoptotic enzyme
-> Apoptosis
How can venetoclax be used in combination to mobilise tumour cells?
Add an mobilising agent, e.g. PI3Kdelta, to peripheral blood -> add venetoclax -> apoptosis
What is BH3 profiling?
Testing to see if patients cancer cells are ‘primed to die’ and therefore they will respond to drugs which induce mitochondrial apoptosis
How do you compete BH3 profiling?
Add BH3 peptide to cells, the more sensitive they are, the more primed to die they are
Liquid or solid tumour sample -> single cancer cell suspension -> exposure to treatments -> Permeabilisation, staining and peptide exposure -> Analysis -> results
In terms of leukaemia, what do you measure when doing a BH3 profile?
The level of apoptosis and the release of cytochrome C