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Apoptosis, GENERAL PATHOLOGY

1. Apoptosis is a type of programmed cell death that occurs through physiological or pathological cellular suicide mechanisms. 2. Key players in apoptosis include caspase enzymes and BCL-2 family proteins that either inhibit or promote mitochondrial membrane permeability and cell death. 3. The apoptosis process involves signaling, control by BCL-2 proteins, caspase execution of cell degradation, and removal of apoptotic bodies without inflammation.

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100% found this document useful (1 vote)
133 views16 pages

Apoptosis, GENERAL PATHOLOGY

1. Apoptosis is a type of programmed cell death that occurs through physiological or pathological cellular suicide mechanisms. 2. Key players in apoptosis include caspase enzymes and BCL-2 family proteins that either inhibit or promote mitochondrial membrane permeability and cell death. 3. The apoptosis process involves signaling, control by BCL-2 proteins, caspase execution of cell degradation, and removal of apoptotic bodies without inflammation.

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Ahmad
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Apoptosis

LEC 7

Prof- Baha’ M. Ewissat

1
APOPTOSIS: PROGRAMMED CELL DEATH
 important type of cell death: cell commits suicide‫نتحر‬
suicide ‫ت‬
 Physiological or pathological: “””mainly physiological”””

 Examples:
1. Programmed destruction of cells during embryogenesis.

Congenital malformation ‫ ت شوه‬in which fingers fail in separation


--syndactyly

2. Hormone-dependent involution:
involution

e.g. physiological,
physiological as in endometrium during menstrual cycle

pathologic as in the prostate atrophy after castration‫خصي‬


e.g. pathologic,

3.Cell deletion in proliferating tissues e.g. cell death in tumors 2


APOPTOSIS: PROGRAMMED CELL DEATH
 Examples:

4. Immune cell death:


death

e.g. deletion of autoreactive T-lymphocytes in thymus

e.g. cell death induced by cytotoxic T cells

5. Mild injurious stimuli:


stimuli

e.g. mild heat, radiation, cytotoxic treatment.

6. Death of neurons in disease processes

e.g. Alzheimer disease 3


Mechanisms of apoptosis

The main players are:

 Cytosolic proteins called Caspases

 Mitochondrial proteins called BCL-2 family

BCL 2 prevent cytochrome C Liang


4
Mechanisms of apoptosis: Caspases

• Enzymes which are present in the cytoplasm and

are key players in apoptosis

• Found in an inactive form in the cytoplasm.

• They are called Caspases from C; from Cysteine

active site, “asp”;


asp from cleavage after aspartic
asp

acid residue. 5
Mechanisms of apoptosis: Caspases
There are two types:

1. Initiators: signaling of these caspases results in


commitment ‫ا لتزام‬of cells to apoptotic cell death.
death These
are found in certain ‫ معين‬cell types.
types

2. Effectors: these are proteases which bring about the


structural degradation ‫انحال ل‬of the cells to give the
classical morphology. They are present in all cell types.

6
Mechanisms of apoptosis: BCL-2 family

• BCL-2 family are group of proteins that either:


– suppress apoptosis,
apoptosis like BCL-2 / BCL-XL

– enhance apoptosis like Bax / Bad

• BCL-2 protects from apoptosis by stabilizing the


mitochondrial membrane,
membrane thus preventing increase
permeability, by binding and sequestering ‫عزل‬cytochrome-C,
cytochrome-C
and stabilizing proteins like the Apaf( Apoptotic protease
activating factor), thus preventing its activation.
7
Mechanisms of apoptosis: BCL-2 family
• Factors that influence ‫ ي ؤثر‬mitochondrial membrane
permeability are important players in regulating
apoptosis in the cells.

(Apoptosis Inducing Factor)

Permeability Transition Pore Complex

8
Mechanisms of apoptosis: mitochondrial damage

• Stimuli like toxins, or signalling will open permeability

transition pore complex (PTPC),


PTPC or mega channels,
channels which
will release material mainly cytochrome-C from the

mitochondria to cytosol.

• Cytochrome-C will bind to Apaf “apoptotic protease-

activating factor” and activate effector caspases.

9
Mechanisms of apoptosis: mitochondrial damage

signalling

10
Mechanisms of apoptosis
1. Signaling: intrinsic or extrinsic triggers‫ محفزات‬to induce apoptosis

2. Control and integration ‫ دمج‬: by the BCL-2 family that can either
inhibit or promote cell death.

3. Execution ‫ ت نفيذ‬: by caspases that activate cytoplasmic


endonuclease and proteases that degrade cytoskeletal & nuclear
proteins which results in breakdown of cytoskeleton and
fragmentation of nuclear chromatin.

4. Removal of dead cells:


cells the formation of apoptotic bodies
containing various intracellular organelles; they express new
ligands that mediate phagocytic cell binding and uptake. 11
Mechanisms of apoptosis

12
Apoptosis: Morphology

• Single cells or groups of cells


• Cells show intensely‫ مكثف‬eosinophilic cytoplasm
and condensed pyknotic nucleus
• Cells are not surrounded by inflammatory cells
• Rapidly removed by fragmentation and
engulfment by cells

Pyknosis: increased basophilia due to shrinkage of the nucleus


13
Apoptosis: Morphology

Normal Apoptotic body

removed 14
Ultrastructural changes in necrosis & apoptosis

chromatin
chromatin condensation
clumping

organellar
chromatin
swelling
fragmentation
membrane cytoplasmic
damage budding

necrosis apoptosis 15
Feature Necrosis Apoptosis
Cell size Enlarged (swelling) Reduced (shrinkage)
Nucelus Pyknosis Fragmentation into
karyorrhexis nucleosome size
karyolysis fragments
Plasma membrane Disrupted ‫ت عطل‬ Intact;
Intact altered
structure, especially
orientation ‫اتجاه‬of lipids
Cellular contents Enzymatic digestion;
digestion Intact;
Intact may be
may leak‫ ت سريب‬out of released in apoptotic
cell bodies
Adjacent inflammation Frequent No
Physiologic or Invariably‫ب ثبات‬ Often physiologic,
physiologic
pathologic role pathologic means of eliminating
(irreversible cell unwanted cells; may
injury) be pathologic after
some forms of cell
injury, especially DNA
damage 16

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