U13_LA_Mechanisms of Apoptosis_Intrinsic and Extrinsic Pathways
U13_LA_Mechanisms of Apoptosis_Intrinsic and Extrinsic Pathways
A. Compare the intrinsic and extrinsic pathways of apoptosis, predicting their roles
in maintaining tissue homeostasis.
Content:
Key Differences
1. Initiating Signals:
o Intrinsic Pathway: Triggered by internal cellular stress, such as DNA
damage, oncogene activation, hypoxia, or survival factor deprivation. It is
mediated by mitochondrial signals.
o Extrinsic Pathway: Initiated by external signals, such as the binding of
death ligands (e.g., FasL, TNF-α) to death receptors on the cell membrane.
2. Key Regulators:
o Intrinsic Pathway:
▪ Controlled by the Bcl2 family proteins.
▪ Stress activates p53, leading to upregulation of pro-apoptotic
proteins like BAX, Noxa, and PUMA.
▪ Mitochondria release cytochrome c, forming the apoptosome with
APAF1 and Caspase-9.
o Extrinsic Pathway:
▪ Death receptors like Fas and TNFR1 recruit adapter proteins (e.g.,
FADD) to form the Death-Inducing Signaling Complex (DISC).
▪ Caspase-8 is activated, leading to downstream caspase activation.
3. Caspase Activation:
o Both pathways converge on the activation of effector caspases (e.g.,
Caspase-3) that dismantle the cell.
Roles in Tissue Homeostasis
1. Intrinsic Pathway:
o Responds to internal cellular integrity.
o Prevents the propagation of damaged cells, thereby reducing cancer risks
and maintaining genetic stability.
2. Extrinsic Pathway:
o Mediates immune responses by eliminating infected or dysfunctional cells.
o Regulates immune tolerance and inflammation through ligand-mediated
death.
Convergence of Pathways
• Caspase-8 (from the extrinsic pathway) can cleave BID into tBID, which then
activates the intrinsic pathway by promoting mitochondrial outer membrane
permeabilization.
• This crosstalk highlights the coordinated role of both pathways in maintaining
cellular and tissue equilibrium.
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