Apoptosis (Programmed Cell Death)
Definition:
Apoptosis is a highly regulated and controlled process of programmed cell death that occurs in
multicellular organisms.
It helps maintain tissue homeostasis by removing old, damaged, or unneeded cells without causing
inflammation.
Key Features:
- Energy-dependent process
- Cell shrinkage (not swelling like necrosis)
- Chromatin condensation
- DNA fragmentation
- Membrane blebbing
- Formation of apoptotic bodies, which are cleared by phagocytes
Mechanism:
There are two main pathways:
1. Intrinsic (Mitochondrial) Pathway:
- Triggered by internal signals like DNA damage, oxidative stress
- Involves:
- Bcl-2 family proteins (e.g. Bax, Bak promote apoptosis; Bcl-2 inhibits)
- Release of cytochrome c from mitochondria
- Activation of caspase-9
2. Extrinsic (Death Receptor) Pathway:
- Triggered by external signals
- Involves:
- Death receptors (e.g. Fas, TNF receptor)
- Activation of caspase-8
Both pathways activate executioner caspases (e.g. caspase-3), which cleave cellular proteins and
lead to cell death.
Importance of Apoptosis:
- Normal embryonic development
- Immune system regulation
- Removal of mutated or cancerous cells
- Preventing autoimmunity
Dysregulation Can Cause:
- Too much apoptosis -> Neurodegenerative diseases (e.g. Alzheimer's, Parkinson's)
- Too little apoptosis -> Cancer, autoimmune diseases