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Summary cell death in pathofysiologie H10-14

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This is a very detailed and extensive summary of the course cell death in pathofysiology (BMW) / Cellular stress and cell death signaling (Biochemistry and Biotechnology). The course was given by prof. Vanden Berghe Tom for both Biomedical Science (master Molecular mechanism of diseases) and for Biochemistry and Biotechnology. The point I achieved was 16/20. The summary was made in 2024. The whole summary contains 291 pages. So I needed to seperate the chapters in different documents. This document contains chapters: H10: Other models of Regulated Cell Death H11: Phagocytosis H12: Cell Death Detection H13: Preclinical Research H14: Necroptosis in Disease

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H10: OTHER MODELS OF REGULATED CELL DEATH
Multiple choice + terminology (don’t learn mechanisms)

10.0 OVERVIEW


Different forms of RCD
1.​ Apoptosis
2.​ Necroptosis
3.​ Pyroptosis
4.​ Ferroptosis
5.​ Parthanatos
6.​ Entotic cell death
7.​ Netosis
8.​ MPT driven necrosis
9.​ Autophagy-dependent cell death
10.​ Immunogenic cell death




10.1 APOPTOSIS

10.1.1 INTRINSIC APOPTOSIS

Intrinsic Apoptosis Pathway

1.​ Initiated by various stimuli, such as growth factor (GF) withdrawal → how?
●​ By altering the balance between pro-survival Bcl-2 proteins and BH3-only proteins.
●​ This shift in equilibrium can lead to :
○​ The sequestering of pro-survival Bcl-2 proteins
○​ Or the directed binding of BH3-only proteins to Bax and Bak
○​
2.​ Result : this induces the oligomerization of Bax and Bak
●​ Results in mitochondrial outer membrane permeabilization (MOMP)
●​ Resulting in the release of cytochrome c and Smac
●​
3.​ Additionally: Bok can induce MOMP independently of Bcl-2 family members
4.​
5.​ Once released, cytochrome c binds to Apaf-1
●​ This promotes apoptosome formation, which in turn recruits caspase-9
●​ Activated caspase-9 triggers caspase-3/7 cleavage and activation → Apoptosis

,10.1.2 EXTRINSIC APOPTOSIS

Extrinsic Apoptosis Pathway:

1.​ Initiated by the binding of select group of TNF family ligands to their receptors
2.​ Formation of the death-inducing signaling complex (DISC)
●​ Formed by the recruitment of: adapter molecules FADD/TRADD + Caspase-8
●​ Caspase 8 undergoes autoprocessing
○​ It can directly activate caspase-3 or cleave Bid to generate tBid
○​ You get triggering of the intrinsic apoptosis pathway


REGULATION APOPTOSIS

Regulation of Apoptosis:

●​ Caspase-3/7/9 activity inhibited by XIAP, counteracted by Smac
●​ Apoptosis can be induced by granzyme B and perforin from immune cells
●​ Once granzyme B is taken up by the target cell, it induces cell death by :
○​ Activating caspase-3
○​ Or by directly activating apoptosis effectors like CAD

10.1.3 OVERVIEW INTRINSIC AND EXTRINSIC APOPTOSIS

Remark : in this drawing the apoptosome is missing




Intrinsic Apoptosis Pathway
1.​ Initiated by various stimuli, such as growth factor (GF) withdrawal → how?
●​ Causes imbalance between pro-survival Bcl-2 proteins and BH3-only proteins.
○​
2.​ Result: this induces the oligomerization of BAX and BAK
●​ MOMP → cytochrome c release
●​ Formation apoptosome: cyt c, Apaf-1, ATP and pro-casp-9
●​ Casp-1 activation → cleavages of casp-3/7 → apotposis

,10.2 NECROPTOSIS

Induction of necroptosis → by various stimuli

10.2.1 TNF-MEDIATED PATHWAY

Complex 1 = closed formation
1.​ TNF binds TNFR1 = initiates complex formation
2.​ Recruitment of TRADD → RIPK1 + TRAF2/5 + cIAP1/2
3.​ Formation 3 pro-survival complexes : 1. LUBAC 2. TAK 3. IKK
4.​ Leads to activation of NF-KB and MAPK signaling pathways → transcription pro-survival genes

Complex II
5.​ DUB = CYLD → deubiquitinase of RIPK1 = open conformation
6.​ RIP1 translocation to cytosol, forming complex II
7.​ RIP1 phosphorylates itself and RIPK3
8.​ RIP3 phosphorylates MLKL → MLKL oligomerizes → recruit to membrane → pore formation


10.2.2 TLR3/4-MEDIATED PATHWAY

TLR3/4-Mediated Pathway
●​ LPS or Poly(I:C)-induced TLR3/4 signaling can also stimulate necroptosis → how?
○​ Adaptor protein TRIF mediates this pathway, engaging RIPK1 or RIPK3



10.2.3 Z-DNA SENSING PATHWAY

Z-DNA Sensing Pathway:
●​ Z-DNA is a specific form of DNA that can be formed during viral infections
●​ ZBP1 senses Z-DNA → ZBP1 binds to RIPK1 because of TIR domain
●​ This process can be inhibited by RIP1.

, 10.3 PYROPTOSIS

10.3.1 PYROPTOTIC CELL DEATH MECHANISMS


Important ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​
= Pyroptotic cell death can be induced by various stimuli that activate inflammasomes

1.​ Canonical Inflammasome Activation
1)​ Priming: DAMPs/PAMPs bind to TLR
→ increased gene expression of pro-inflammatory cytokines and NLRP3

2)​ NLRP3 activation leads to its binding to ASC and caspase-1
→ inflammasome formation
○​ NLRP3 binds to ASC (PYD)
○​ ASC binds to caspase-1 (CARD)

3)​ Caspase-1 processes pro- IL-1β and pro-IL-18 to their active forms (IL-1β and IL-18)

4)​ Simultaneously, caspase-1 cleaves GSDMD = separation of the inhibitory C- and N-terminal domains
→ GSDMD-N translocates to the membrane → pore formation + cytokine release

2.​ Non-canonical Inflammasome Activation
1)​ Intracellular LPS binds to Casp4/5 (human) or Casp11 (mouse) → activation of caspase 4/5/11
2)​ Activated Casp4/5/11 processes GSDMD and caspase-1.
3)​ Cell lysis induced by this pathway can also activate canonical inflammasome signaling.




➔​ Green arrows denote upregulation by gene expression.
➔​ Black arrows indicate interactions, cleavage events, or inhibition.

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