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    Group 3 Section C2

    Paraguya, Lanisa

    Parias, Orlando IIPasajol, Margarita

    Pascua, Vanessa

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    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

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    a form of cell death designed to eliminate

    unwanted host cells through activation of

    coordinated, internally programmed series of

    affected by a dedicated set of gene products.

    Occurs under normal physiological condition

    Can be induced by pathological conditions

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    Hypoxia

    Defective Energy (ATP) Production

    Physical Agents and Drugs

    Free Radicals

    Infectious Agents

    Immunological ReactionsGenetic Derangements

    Nutritional Imbalance

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    `Apoptosis (programmed cell death), isa normal component of the development

    and health of multi-cellular organisms while

    Necrosis (traumatic cell death) isuncontrolled cell death leads to lysis of

    cells, inflammatory responses and,

    potentially, to serious health problems.

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    Causes regression of anatomical structures in fetal

    development

    Eliminates self-recognizing lymphocyte clones inimmunologic processes

    Prevents overpopulation in continuously renewing

    tissues

    Maintains the balance of cellularity in the responseof the tissues to hormones

    Deletes mutant cells or those with DNA damage

    Eliminates cells infected with viruses

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    APOPTOSIS Vs Death of single cells

    Cytoplasmic blebbing

    Chromatin condensation

    Cell shrinkage Lysosomes and other

    cytoplasmic organelles intact

    Nuclear DNA breaks intofragments

    Rapid phagocytosis of

    apoptotic bodies bymacrophages and adjacentcells

    No inflammatory response

    NECROSIS Death of many cells

    Plasma membranedisruption

    Nuclear swelling and lysis Cell swelling

    Lysosomal breakdown

    Cell lysis and disintegration

    Phagocytosis by

    macrophage Often cause a damaging

    inflammatory response insurrounding tissues

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    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, affectsindividual cells

    Contiguous,

    simultaneous, andmassive affects in

    damaged tissue areas

    Triggers 100s of physiologic

    and noxious stimuli

    Sudden transfer of

    energy, specifictoxins, or ATP

    depletion

    Induction Slow (hours),stochastic

    Rapid (secs, mins)

    Tissue inflammation Absent Present

    Cell removal Rapid and discrete Slow

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    Defining features Apoptosis Necrosis

    Morphologic

    featuresCellular membranes Integrity preserved,

    blebbing of intactplasma membrane

    Loss of integrity, with

    spilling of cellconstituents

    Cell volume Decreased, as well asthe formation of

    small, fragmentedapoptotic bodies or

    inclusions

    Increased

    Organelle structure Late preservation,with exception ofnuclear condensation

    and fragmentation

    Swelling of nucleus

    and other organelles

    Chromatin Discrete, organizedcondensation,

    margination and

    fragmentation (e.g.

    pyknotic nuclei)

    Pattern conserved

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    Defining features Apoptosis Necrosis

    Biochemical and

    molecular featuresMitochondrial permeabilitytransition

    Moderate Severe

    Mitochondrial membranepotential (delta psi-m)

    Transient loss Permanent loss

    Requirement fro ATP Yes No

    Membrane phospholipidasymmetry

    Exteriorization of

    phosphatidylserine from

    inner to outer leaflet of

    plasma membrane

    Unchanged

    Cell pH Acidification Unchanged

    DNA cleavage Initial specific large

    cleavage products of 300,then 50, kbp, followed by

    internucleosomal cleavage

    leading to DNA ladder

    pattern of 180 bp unit

    repeats

    Random DNA cleavage

    Caspase dependence Yes No

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    The Extrinsic

    or Death

    ReceptorPathway

    The Intrinsic or

    Mitochondrial

    Pathway

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    There are 4 key processes:

    1. Induction

    2. Activation3. Execution

    4. Removal of dead cells

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    Triggered by transmembrane/external signals

    or ligands:

    Pro-apoptotic factors (Death signals) FasL TNF-

    TRAIL

    Anti-apoptotic factors Growth factors

    Cytokines

    Hormones

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    Components:

    Death Ligands- FasL, TNF, TRAIL

    Death receptors e.g. Fas (CD95),

    TNF-R1, TRAIL-R1

    Adapter protein e.g. Fas-

    Associated Death Domain (FADD)Caspases

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    Cysteinyl-Aspartate Specific Proteases

    Exist within the cell as inactive pro-forms or

    zymogens

    have been termed "executioner" proteins

    Responsible for the cleavage of the key

    cellular proteins that leads to morphologic

    changes observed in cells undergoing

    apoptosis

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    Initiator CaspasesCaspases -2, -8, -9

    and -10

    Activated inresponse to deathsignal

    Possess long pro-domains (CARDdomain)

    Activate effectorcaspases

    Effector CaspasesCaspases -3, -6 and -7

    H

    ave short pro-domains

    Executioner ofapoptosis

    Their action leads

    to morphologicalfeatures such asDNA fragmentation

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    1. Triggered by internal signals (pro-apoptotic)

    such as: Growth factor deprivation

    DNA damage Increased levels of reactive oxygen species

    2. Regulated by Mitochodrial Outer Membrane

    Permeabilization (MOMP)

    3. Release of Cytochrome C

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    Activation or inactivation of an

    inner mitochondrial permeability transition

    pore, which is involved in the regulation of

    matrix Ca2+

    , pH, and voltage. Some Bcl-2 family proteins can induce (pro-

    apoptotic members) or inhibit (anti-

    apoptotic members) the release

    of cytochrome c into the cytosol which, oncethere, activates caspase-9 and caspase-3,

    leading to apoptosis.

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    ` Differentiation of fingers and toes in a developing

    human embryo occurs because cells between the

    fingers apoptose; the result is that the digits are

    separate.

    ` The effect of lack of programmed cell death (Specifically apoptosis) on

    the toes of a human. A mutation caused the middle two toes to remainconnected.

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    ` During menstruation

    ` Development of an organ or tissue is often

    preceded by the extensive division anddifferentiation of a particular cell, the resultant

    mass is then "pruned" into the correct form by

    apoptosis

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    HIV Invades CD T Cells

    CD T Cells dies

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    IMMUNEDEFENSE

    Immune defense isthe coordinated,

    complicated interplay

    of cellular

    mechanisms andantibodies to fight

    disease-causing

    agents, including

    viruses, bacteria, andother types of

    infection.

    APOPTOSIS

    Apoptosis plays a keyand essential role in

    the education of

    immune cells in the

    thymus and the bonemarrow, where

    autoreactive cells are

    eliminated, thereby

    establishing toleranceto self tissues.

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    The immune response to a foreign invader involves the proliferationof lymphocytes T and/or B cells. When their job is done, they

    must be removed leaving only a small population of memory cells.

    This is done by apoptosis.

    Very rarely humans are encountered with genetic defects in

    apoptosis.T

    he most common one is a mutation in the gene for Fas,but mutations in the gene for FasL or even one of the caspases are

    occasionally seen. In all cases, the genetic problem

    produces autoimmune lymphoproliferative syndrome or ALPS.

    Features: an accumulation of lymphocytes in the lymph nodes and

    spleen greatly enlarging them.

    The appearance of clones that are autoreactive; that is, attack

    "self" components producing such autoimmune disorders.

    the appearance of lymphoma a cancerous clone of lymphocytes.

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    Associated with dysregulated apoptosis

    Apoptosis elimnates damage cells

    Damage mutation Cancer

    Many cancer cells are defective in apoptoticpressure

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    Histologic Examination

    Tissues stained with H and E

    Apoptotic cells

    Fluorescent probes Mark apoptotic events in various ways

    DNA strand breaks in situ

    Change in mitochondria membrane potential

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    Annexin V assay

    Binds with high affinity to phosphatidylserine on the

    outer surface of membrane

    Cellular DNA fragmentation ELISA Labeling of target DNA using BrdU

    Monoclonal antibody

    Cell-death inducing reagent

    Dna fragments (necrotic cells) Lying agent

    y DNA fragments (apoptotic cells)