Lectures 5&6 - Apoptosis Flashcards

1
Q

What is apoptosis

A

a form of cell death that occurs in multicellular organisms. It is orderly and precisely controlled.

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2
Q

Why do metazoans need apoptosis?

A

need a body plan that requires tissue shaping,

eliminate infected cells

eliminate cells that do not retain genomic integrity

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3
Q

Among survival and apoptosis which one is the default pathway

A

apoptosis

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4
Q

Why and when is apoptosis important?

A

1- During development.

     Sculpting structures,  e.g. digits. 

2- During immune system shaping.

     Eliminating self-reacting cells. 

3- Deleting damaged cells

       Virus infected cells. 

       Sunburn, Radiation. 

       Genetic abnormality. 

4- Eliminating misplaced cells

     Cancer. 

       Autoproliferative disorders.
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5
Q

What is cell death classified according to?

A

1- Its regulation (regulated vs non-regulated) (some halfway regulated).

2- Its function.

3- Morphological changes.

4- Biochemical changes

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6
Q

How many types of cell death are there? give examples

A

14 :
necrosis, apoptosis

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7
Q

Describe the intrinsic pathway of apoptosis - upstream of MMP loss

A

Apoptosis occurs by signals from within the cell itself e.g. DNA damage

DNA damage leads to p53 activation, this leads to activation of Bax

Bax makes a pore in the mitochondrial membrane which leads to the leakage of molecules, inducing a caspase cascade ending with the cleavage of particular proteins that mean there is DNA fragmentation, protein cleavage, nuclear membrane loss and organelle breakdown

This ultimately leads to apoptosis

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8
Q

Describe the Type I extrinsic pathway of apoptosis - upstream of MMP loss

A

Extrinsic stimuli e.g. Trail, Fas etc. Lead to death receptor activation and this leads to caspase 8 activation, this initiates caspase 6 etc. and then same pathway as intrinsic from here

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9
Q

Describe the Type II extrinsic pathway of apoptosis - upstream of MMP loss

A

Activation of caspase 8 also leads to activation of tBid which is a faster version (6hrs) of what Bax does (takes 16-24) (so cuts mitochondria)

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10
Q

What is the core of apoptotic pathways

A

(cystein aspartic proteases): caspases

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11
Q

Describe the activation of caspases

A

proteolytic cleavage:
Procaspase get cleaved and then associated into a heterotetreamer

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12
Q

Name the different initiator and effector caspases

A

Initiator:
caspase-8
caspase-9
caspase-10

Effector:
caspase-3
caspase-6
caspase-7

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13
Q

Describe the process of how Effector caspases keep cleaving/activating initiator caspases

A

initial trigger -> initiator caspases -> Effector caspases ->

-> back to initiator caspases
AND
-> Substrates -> apoptosis

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14
Q

Describe the structure of the DISC (Death inducing signal complex), and what the different parts are referred to as

A

Fas receptor:
the “trigger”
made up of extracellular domain ligand binding and death domain

FADD:
the “adaptor”
made up of the death domain and a death effector domain

Pro-caspase 8:
the “Killer”
made up of 2 death effector domains and a catalytic domain

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15
Q

Explain how The DISC responsible for caspase activation via the “extrinsic pathway”

A

Fas ligand brought by another cell, and binds to Fas receptor

Pro-caspase 8 is weak as bound to death effector domains

caspase 8 becomes active

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16
Q

Describe how cytochrome c (the alarm signal) works in intrinsic apoptosis

A

When there’s a hole in mitochondria: Cyc C is released and binds to APAF-1 protein creating an open conformation with the CARD domain exposed, and this binds to other CARD domains making a wheel (wheel of death)

Caspase 9 binds to the wheels of death this is now called the apoptosome

Once caspase 9 is activated it causes a caspase cascade - activates effector caspases (caspases 3,6 and 7) and they chop up substrates and the cell dies

17
Q

What is a key event in the initiation of apoptosis

A

Release of mitochondrial contents such as calcium and cytochrome C

18
Q

How does bax induce apoptosis

A

by forming pores in the mitochondrial membrane

19
Q

Explain how pores in the mitochondrial membrane are made during apoptosis (simple)

A

A tunnel is created on the mitochondrial membrane by BH3 proteins forming a tunnel and inserting themselves into the membrane

20
Q

Describe properties of the BH3 family

A

24 members

very sticky - they are inclined to bind to each other

If Bax family of proteins dominate and allow pore forming complexes, the cell will die.

Bcl-2 family proteins bind to Bax family to restrain them.

Sensitizer BH3 proteins fine tune survival-apoptosis balance

21
Q

Explain how pores in the mitochondrial membrane are made during apoptosis (complex)

A

BAX and BAK directly permeabilize mitochondrial membrane

BID and BIM activate BAX and BAK

(BID,BIM PUMA NOXA bind to BAX or BAK to expose them and change conformation, unbinds and leave open for a small time (“hit & run”) if in this time there’s more binding of more BAX/BAK, this eventually creates a pore )

BCL-2 and BCL-xL sequester BAX, BAK, BID and BIM

22
Q

What two events must take place to activate mitochondrial membrane permeabilization

A

All the pro-survival members of the BCL-2 family are inhibited

BAX and BAK are activated by the activator BH3-only proteins

23
Q

BH3-only pro-apoptotic molecules are inactivated by what?

A

Survival signals

24
Q

What is bmf sequestrated by?

A

Cytoskeleton complex - if cytoskeleton can’t function it will be released and will do its job to create open BAX or open BAC

25
Q

Explain how BIM is needed to induce apoptosis

A

If continuous activity coming from outside cell (so normal) BIM is phosphorylated and degraded by proteasome

when this does not occur, BIM is not phosphorylated anymore and it survives and doesn’t move to proteasome and get degraded

it can bind to BAX and BAC, keeping them in open conformation - inducing apoptosis

26
Q

Explain how growth factor signalling leads to Bad not being able to bind to BAX/BAC

A

Almost all growth factor signalling e.g. receptor tyrosine kinase, abundance of AAs, ATP etc. all converge to Bad and phosphorylate it

when its phosphorylated its sequestered in the cytoplasm and is bound to other proteins (14-3-3 proteins) it can’t bind to BAX/BAC

27
Q

What are BH3-only pro-apoptotic molecules activated by?

A

wide range of apoptotic stimuli:

Cytokine deprivation, p53, Calcium flux, UV,

28
Q

What proves that bcl2 and bim must be on the same stress path

A

when you delete bcl 2 (pro-survival gene) you get loss of cells

when you delete bcl2 and bim together you rescue it, meaning that bcl2 and bim must be on the same stress path

29
Q

What can increased apoptosis (too few cells) lead to?

A

Developmental disorders

Viral infectios, e.g. AIDs

Neurological disorders e.g. parkinsons

Acute neurological damage

Cardiovascular disease

30
Q

What can decreased apoptosis (too many cells) lead to?

A

Developmental disorders

Autoimmunity

CANCER e.g chronic lymphocytic leukemia

31
Q

When does cancer become chemoresistant?

A

Malignancy metastasis, perminant plastic cells

32
Q

Name some examples of gene alterations that effect to apoptosis pathway and lead to tumour development

A

p53 mutation
p14ARF gene inactivation
mdm2 overexpression
BAX mutation
Bcl-2 overexpression

33
Q

What happens if you mutate two things on same pathway together, give an example

A

you see aggregation
e.g.
Bcl-2 mutations alone dont cause mice to die
myc mutations mice proliferate massively
the two together causes a more severe cancer

34
Q

Explain how targeted therapy of apoptosis woks in cancer treatment

A

Normal condition :

Bcl-2 and BAX - Bcl2 binds to BAX, keeping it inactive and unable to complete cell death

With chemotherapy:

Bim and Puma bind to Bcl-2, inactivating it and allowing BAX to undergo its function on mitochondria and caused programmed cell death

small molecule that binds to Bcl-2 as a BH3 mimetic.

35
Q

Describe how ABT-199/Venetoclax work

A

ABT-199 is a BH-3 mimetic, binding to bcl-2

ABT-199 is a chemical not a protein

ABT-199 is in clinical trials for Lymphoma/Follicular Lymphoma, small cell lung cancer & CLL

Tumors with high levels of anti apoptotic Mcl-1 are protected against ABT-199