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Apoptosis

Group 3 Section C2
Paraguya, Lanisa
Pariñas, Orlando II
Pasajol, Margarita
Pascua, Vanessa
Objectives
• To define Apoptosis
• To differentiate apoptosis from necrosis
• To determine the different cellular features of
both apoptosis and necrosis
• To discuss the role of apoptosis in
embryogenesis, development and differentiation
of tissues, AIDS, Cancer and immune defense
• To discuss the different laboratory indices that
will define cells undergoing apoptosis
Definition: APOPTOSIS
• A prearranged pathway of cell death whereby the cell
commits suicide for the benefit of the organism
• Also known as programmed cell death (PCD), is an
important counterpart to mitosis for the regulation of
cell numbers during development, in homeostatic cell
turnover in the adult, and in many other settings
• Characterized by a series of distinct morphological
and biochemical alterations to the cell such as DNA
fragmentation, chromatin condensation, cell
shrinkage, and plasma membrane blebbing
Apoptosis is important in many of the
following developmental and
physiological processes:
• Causes regression of anatomical structures in fetal
development
• Eliminates self-recognizing lymphocyte clones in
immunologic processes
• Prevents overpopulation in continuously renewing
tissues
• Maintains the balance of cellularity in the response of
the tissues to hormones
• Deletes mutant cells or those with DNA damage
• Eliminates cells infected with viruses
Stimuli that prompt a cell to
commit apoptosis:
• Hypoxia
• Defective energy or ATP production
• Physical agents or drugs
• Chemical agents or drugs
• Infectious agents
• Immunological reactions
• Genetic derangements
• Nutritional imbalance
Morphologic Features
APOPTOSIS Vs NECROSIS
• Death of single cells • Death of many cells
• Cytoplasmic blebbing • Plasma membrane disruption
• Chromatin condensation
• Nuclear swelling and lysis
• Cell shrinkage

• Cell swelling
Lysosomes and other cytoplasmic
organelles intact • Lysosomal breakdown
• Nuclear DNA breaks into fragments • Cell lysis and disintegration
• Rapid phagocytosis of apoptotic • Phagocytosis by macrophage
bodies by macrophages and
adjacent cells • Often cause a damaging
• No inflammatory response inflammatory response in
surrounding tissues
Characteristics distinguishing
apoptosis from necrosis
Defining features Apoptosis Necrosis
Physiologic/pathologic
features
Cellular role Usually normal Abnormal, accidental
Process Active, energy-dependent Passive, results from
lack/loss of energy
Distribution Dispersed, affects Contiguous, simultaneous,
individual cells and massive affects in
damaged tissue areas
Triggers 100s of physiologic and Sudden transfer of energy,
noxious stimuli specific toxins, or ATP
depletion
Induction Slow (hours), stochastic Rapid (secs, mins)
Tissue inflammation Absent Present
Cell removal Rapid and discrete Slow
Characteristics distinguishing
apoptosis from necrosis
Defining features Apoptosis Necrosis
Morphologic features
Cellular membranes Integrity preserved, Loss of integrity, with
blebbing of intact plasma spilling of cell constituents
membrane
Cell volume Decreased, as well as the Increased
formation of small,
fragmented “apoptotic
bodies” or inclusions
Organelle structure Late preservation, with Swelling of nucleus and
exception of nuclear other organelles
condensation and
fragmentation
Chromatin Discrete, organized Pattern conserved
condensation, margination
and fragmentation (e.g.
pyknotic nuclei)
Characteristics distinguishing
apoptosis from necrosis
Defining features Apoptosis Necrosis
Biochemical and molecular
features
Mitochondrial permeability Moderate Severe
transition
Mitochondrial membrane Transient loss Permanent loss
potential (delta psi-m)
Requirement fro ATP Yes No

Membrane phospholipid Exteriorization of Unchanged


asymmetry phosphatidylserine from inner to
outer leaflet of plasma membrane
Cell pH Acidification Unchanged

DNA cleavage Initial specific large cleavage Random DNA cleavage


products of 300, then 50, kbp,
followed by internucleosomal
cleavage leading to DNA ladder
pattern of 180 bp unit repeats
Caspase dependence Yes No
Apoptosis is induced via two main
routes
1. The mitochondria (the intrinsic pathway)
2. The activation of death receptors (the
extrinsic pathway)
• Both pathways converge to induce the
activation of caspases, the final executioners
of cell death
Pathways
• The extrinsic pathway is initiated through the
stimulation of the transmembrane death
receptors, such as the Fas receptors, located
on the cell membrane. In contrast, the
intrinsic pathway is initiated through the
release of signal factors by mitochondria
within the cell.
Caspases
• cysteine-aspartic proteases
• have been termed the final "executioner" of
apoptosis
CASPASES
Two types:
1.initiator (apical) caspases-
e.g. CASP2, CASP8, CASP9 and CASP10
2.effector (executioner) caspases-
e.g. CASP3, CASP6, CASP7
The caspase cascade can be activated
by:

• granzyme B (released by cytotoxic T


lymphocytes and NK cells) which is known to
activate caspase-3 and -7
• death receptors (like Fas, TRAIL receptors
and TNF receptor) which can activate caspase-8
and -10
• the apoptosome (regulated by cytochrome
c and the Bcl-2 family) which activates caspase-
9.
Clinical correlation
• Alzheimer’s Disease

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