Apoptosis Pathways: Intrinsic and Extrinsic

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Questions and Answers

In follicular lymphoma, the overexpression of BCL-2 prevents apoptosis, leading to increased cell survival. Which of the following mechanisms best describes how BCL-2 achieves this?

  • By directly interacting with death receptors, such as Fas and TNF receptors, to initiate the extrinsic apoptotic pathway.
  • By promoting the formation of apoptotic bodies, facilitating the engulfment of cellular debris by macrophages.
  • By inhibiting the release of cytochrome C from the mitochondria, thus preventing apoptosome formation. (correct)
  • By directly activating caspases, initiating the caspase cascade and promoting cell breakdown.

A researcher is investigating potential therapeutic targets for neurodegenerative diseases characterized by abnormal protein accumulation. Based on the information provided, which of the following strategies would be most effective in promoting the removal of damaged cells?

  • Overexpression of BCL-2 to enhance cell survival and prevent apoptosis.
  • Knockdown of BCL-2 to promote cytochrome C release and caspase activation. (correct)
  • Upregulation of TNF-alpha to directly induce necrosis.
  • Inhibition of caspase-3 to prevent the execution of apoptosis.

During a study of liver pathology, a pathologist observes a liver biopsy from a patient with viral hepatitis. Which specific set of morphological features would the pathologist expect to see in hepatocytes undergoing apoptosis?

  • Karyolysis, cytoplasmic fragmentation, and loss of membrane integrity.
  • Cellular swelling, karyolysis, and neutrophil infiltration.
  • Pyknosis, eosinophilic cytoplasm, and karyorrhexis. (correct)
  • Cellular shrinkage, basophilic cytoplasm, and extensive inflammation.

In the context of cellular response to irreversible injury, what key feature distinguishes apoptosis from necrosis, particularly concerning the inflammatory response?

<p>Apoptosis is characterized by controlled cell death with intact membranes, preventing inflammation, whereas necrosis involves loss of membrane integrity, causing inflammation. (B)</p> Signup and view all the answers

A researcher is comparing the intrinsic and extrinsic pathways of apoptosis. Which statement correctly differentiates the key initiating events of these two pathways?

<p>The intrinsic pathway is primarily triggered by intracellular signals (such as DNA damage), leading to mitochondrial changes, whereas the extrinsic pathway is initiated by extracellular ligands binding to death receptors. (B)</p> Signup and view all the answers

Following a viral infection, cytotoxic T cells induce apoptosis in infected cells via the extrinsic pathway. Which molecular interaction directly initiates this process?

<p>Binding of a ligand (e.g., FasL) to a death receptor (e.g., Fas) on the target cell. (A)</p> Signup and view all the answers

During apoptosis, specific enzymes dismantle the cell in a highly regulated manner. What is the critical role of caspase-3 in this process?

<p>Executing the breakdown of cellular organelles and the cytoskeleton, leading to the formation of apoptotic bodies. (A)</p> Signup and view all the answers

In a scenario where BCL-2 is knocked down in a cell, what is the immediate downstream effect on the intrinsic pathway of apoptosis?

<p>Enhanced formation of the apoptosome complex. (C)</p> Signup and view all the answers

A researcher is studying the morphological changes associated with apoptosis and necrosis. Which of the following features is exclusively observed in necrosis but not in apoptosis?

<p>Karyolysis. (C)</p> Signup and view all the answers

Macrophages recognize and phagocytose apoptotic bodies through specific signals. Which signal is primarily responsible for targeting apoptotic cells for engulfment by macrophages?

<p>Externalization of phospholipids on the cell surface. (D)</p> Signup and view all the answers

Flashcards

Apoptosis

Cell death where activated enzymes cause a clean cell death, without an inflammatory response.

Cell Aging

Cell death due to irreversible cell injury/pathological states, which can result in necrosis/apoptosis.

Intrinsic Pathway

The mitochondrial pathway of apoptosis.

Extrinsic Pathway

Pathway involving death receptors (Fas and TNF receptors) to trigger apoptosis.

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BAX and BAK

Pro-apoptotic proteins that allow cytochrome c to exit mitochondria, leading to apoptosome formation.

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BCL-2

Anti-apoptotic protein that promotes cell survival, often overexpressed in follicular lymphoma.

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Pyknosis

Nuclear chromatin condensation and shrinkage.

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Karyorrhexis

Nuclear fragmentation.

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Karyolysis

Fading away of the nucleus, present only in necrosis.

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Apoptotic Bodies

Membrane blebbing and cytoplasmic fragmentation leading to the formation of apoptotic bodies.

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Study Notes

  • Apoptosis is a form of cell death where cells "fall off" in a normal fashion
  • Irreversible cell injury can lead to either necrosis or apoptosis

Apoptotic Mechanisms

  • Activated cell enzymes, specifically the caspase cascade, cause a clean cell death
  • Apoptosis is not associated with an inflammatory response
  • Two main routes exist: an intrinsic (mitochondrial) pathway and an extrinsic (death receptor) pathway

Intrinsic Pathway

  • The intrinsic pathway is purely mitochondrial
  • BAX and BAK, part of the BCL-2 family, facilitate cytochrome c exiting the mitochondria and binding to Apaf-1
  • This binding results in apoptosome production
  • Apoptosomes cleave pro-caspase-9, initiating the caspase cascade

BCL-2

  • BCL-2 is an anti-apoptotic mitochondrial protein that promotes cell survival
  • Follicular lymphoma overexpresses BCL-2, preventing apoptosis and promoting cell survival

Caspase Cascade

  • Caspase-9 is activated, which then triggers caspase-3
  • Activation of the caspase cascade leads to the breakdown of cells, cellular organelles, and the cytoskeleton, forming apoptotic bodies

Extrinsic Pathway

  • The extrinsic pathway involves death receptors like Fas and TNF receptors
  • T cells interact with infected cells, initiating apoptosis

Morphologic Changes

  • Nuclear changes include pyknosis (nuclear chromatin condensation and shrinkage) and karyorrhexis (nuclear fragmentation)
  • In karyorrhexis, endonucleases fragment the nucleus
  • Pyknosis and karyorrhexis are present in both apoptosis and necrosis
  • Karyolysis is only present in necrosis, involving the fading away of the nucleus
  • Membrane blebbing and cytoplasmic fragmentation occur, forming apoptotic bodies
  • Phospholipids are released, signaling macrophages to phagocytose the apoptotic bodies

Causes of Apoptosis

  • Physiologic causes include normal aging cells undergoing apoptosis
  • Pathologic causes include viral hepatitis, where cells exhibit pyknosis and eosinophilic cytoplasm (apoptotic cells)
  • Huntington's disease, where accumulation of Huntington protein damages neurons

Apoptosis vs. Necrosis

  • Karyolysis is unique to necrosis
  • BCL-2 is an anti-apoptotic mechanism; knocking down BCL-2 promotes apoptosis
  • Chromatin condensation occurs before fragmentation in apoptosis

Membrane Integrity

  • In apoptosis, membrane integrity is largely maintained; membrane blebbing occurs, forming apoptotic bodies that are phagocytosed by macrophages without releasing the cell's contents
  • Necrosis involves loss of membrane integrity, leading to cytoplasmic spilling, inflammation, and damage to neighboring cells
  • Apoptosis is a "clean" form of cell death compared to the chaotic and harmful necrosis

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