Cell signalling and pharmacology Flashcards

(98 cards)

1
Q

What is cell signalling?

A

The ability of a cell to:

Detect or receive information
Process the information
Respond to generate events fundamental to living
Also allows for:

Specialist functions
Co-ordination with other cells

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2
Q

How is Abnormal cell signalling and disease linked?

A

Abnormal cell signalling underpins most disease processes, therefore signalling moelcules and their receptors are the main targets for therapeutic drugs.

Note : pathogenic organisms and viruses also modify the hosts signalling pathways to use to their own advatage eg cholera, peptic ulcers, TB, dysentery

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3
Q

What is the first principle of cell signalling?

A

Cells communicate with each other via extracellular signalling molecules (also known as first messengers)

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4
Q

What is intercellular signalling? What is a ligand?

A

Signalling cell produces a signalling molecule = ligand

Can travel short or long distances (or no distance at all)
Signalling molecule is then detected by a receptor on (or in) the target cell

Receptor is specific for that signalling molecule

Allows for control and specialised functions

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5
Q

What are the Two broad classes of extracellular signalling molecules?

A

Large and/or hydrophilic (water soluable)

Bind to cell surface receptors
Small and/or hydrophobic

Enter cell and bind to intracellular receptors
Note : the majority of signalling molecules are hydrophilic so most cell signalling is via cell surface receptors

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6
Q

What are the 5 mechanisms of intercellular communication?

A

Paracrine, autocrine, endocrine, synaptic, Juxtacrine

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7
Q

What is paracrine signalling?

A

Released signal affects cells in close proximity (local mediators)
Limited travel ability
Examples: some growth factors, histamine, nitric oxide

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8
Q

What is autocrine signalling?

A

Sender and target cell are the same
Examples: molecules regulating development, some growth factors

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9
Q

What is endocrine signalling?

A

Usually the signal acts on distant cells (but can act on nearby cells)
Hormones
Examples: insulin, glucagon, testosterone, oestrogen, adrenaline (epinephrine)

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10
Q

What is synaptic signalling?

A

Axon of neurone transmits an electrical signal over long distances
At axon terminal, the electrical signal causes the release of neurotransmitters messenger molecules into the synapse eg acetylcholine, GABA
Neurotransmitter travels short distance only to specific target cell

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11
Q

What is juxtacrine signalling?

A

Juxtracrine signalling (or contact dependent):

The signalling cell is in direct contact with target cell

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12
Q

What is the second general principle of cell signalling?

A

Linked with cell surface receptors (and not intracellular receptors)

Begins when receptors on the cell surface receive the signal and convert or relay the message to a molecule inside the cell
Signal is subsequently transduced along many intracellular molecules (also known collectively as ‘second messengers’) ie INTRACELLULAR SIGNALLING

Signal transduction: process whereby one type of signal is converted into another type

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13
Q

What is the third principle of cell signalling?

A

The response of the cell can be fast or slow

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14
Q

What is the fourth principle of cell signalling?

A

The same signal molecule can induce different responses in different target cells via:
Variants or isoforms of the same receptor
Similar receptors use different intracellular transduction pathways

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15
Q

What are cell surface receptors?

A

Cell surface receptors relay extracellular signals via intracellular signalling molecules or pathways:

Act like molecular relay as ‘message’ is transduced from molecule to molecule
Final molecule in sequence interacts/activates an effector protein
Produces a cellular response

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16
Q

How are signals relayed?

A

Information is trasferred in the signal transduction pathway mainly by changes in the state of proteins.

A change in protein in the pathway is subsequently detected by the next molecule in the sequence, which itself in turn becomes altered, and so on and on

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17
Q

What is shape change of proteins in signalling induced by?

A

Molecules simply binding with eachother
Addition/removal of a phosphate to the molecule
Molecule binds to a phosphate on another molecule

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18
Q

What is the point of a signal transduction cascade?

A

To amplify the original signal
Integrate and distribute signals coming from other signal transduction pathways NOTE : scaffold proteins allow for some signalling components to be activated more efficiently

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19
Q

What types of molecules are comprised in signal transduction pathways?

A

Proteins: includes enzymes
Lipids: eg phospholipids, ceramides, diacylglycerol (DAG)
Small chemical mediators: eg cAMP, cGMP, inositol triphosphate (IP3)
Ions: eg Ca2+, Zn 2+
Gases: eg Nitric oxide

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20
Q

How do intracellular proteins act as molecular switches? What are the 2 broad classes?

A

Many intracellular proteins that act as signal transduction molecules act as molecular switches

Toggle between inactive and active states
Comprised of 2 broad classes which are activated/deactivated by:

Binding to guanine nucleotides – GTP and GDP
Phosphorylation

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21
Q

What are G-proteins? Intrinsic GTPase activity? Forms?

A

Known as G-proteins – regulated by binding to guanine nucleotides

Inactive when bound to GDP
Active when bound to GTP
Intrinsic GTPase activity -

Hydrolysis of GTP switches off protein
Exists in 2 forms:

Within trimeric complex (used by G-protein coupled receptors – will cover in detail later)
As a single monomeric protein

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22
Q

What are monomeric G proteins? What does inactivation/activation require?

A

Monomeric G proteins:

Superfamily – 150 members
Activation/inactivation requires:

GEFs to aid in GDP/GTP exchange
GAPs to aid in GTP hydrolysis

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23
Q

What are the 3 key members of the monomeric G protein family?

A

Key members include:

Ras – cell division and growth
Rab – membrane transport and vesicular transport
Rac and Rho – cytoskeleton organization migration

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24
Q

How does phosphorylation occur?

A

Undertaken by protein kinases:

Add phosphate from ATP to specific amino acids on target protein

Tyrosine kinases (TKs)
Serine/threonine kinases (STKs)
Covalent modification reversed by protein phosphatases

Note: lipid kinases and lipid phosphatases also exist which modify lipids in this manner

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25
What are protein kinases?
Protein kinases are also switch proteins themselves ie activated/ deactivated by phosphorylation Often organised in sequence in a signal transduction pathway Once activated, can turn phosphorylate and activate the next protein kinase in the sequence
26
How is PKA produced (common intracellular pathway 1)
Adenylyl cyclase – cAMP – PKA – multiple specific molecules required for specific response
27
How does receptor activation induce production of cAMP?
CAMP is produced from ATP by the enzyme adenylyl cyclase Adenylyl cyclase: consists of 2 transmembrane domains: joined by a catalytic intracellular domain CAMP is degraded from a cyclin nucleotide to a 5’ monophosphate (AMP) by a cAMP phosphodiesterase (very important – controls signalling)
28
What are most responses to cAMP mediated by?
Most responses to cAMP are mediated via cAMP-dependent protein kinase A (ie protein kinase A PKA) Inactive PKA consists of two regulatory (R) subunits and 2 catalytic (c) kinase subunits CAMP binds to the regulatory subunits causing the molecules to dissociate 2 resulting monomeric kinase units are active and can bind phosphorylate target proteins Note : cAMP can also directly bind and activate cAMP-mediated ion channels
29
What is the second common signalling pathway creating PKB?
Common signalling pathway - PI3-kinase – PIP2 to PIP3 – PDK1 – PKB (Atk) - multiple molecules required for specific response
30
What is PIP2?
PIP2 (phosphatidylinositol 4,5 – bisphosphate) Cell membrane phospholipid Found in inner leaflet of lipid bilayer Phosphoinositide comprised of: Hydrophobic diaglycerol (DAG) lipid tail Hydrophilic inositol sugar as head group (inositol triphosphate IP3)
31
What is the third common intracellular pathway? (calmodulin)
Phospholipase C – PIP2 to DAG and IP3 – Ca2+ - calmodulin – multiple specific molecules required for specific response
32
How is breakdown of PIP2 in the bilayer by phospholipase C (PLC)
Activation of a receptor causes: Activation of phospholipase C (PLC) Cleaves PIP2 into DAG and IP3 DAG activates Protein Kinase C (PKC) (important in growth) IP3 triggers release of Ca2+ (also required for PKC activation)
33
What is calcium like as a signalling molecule?
Variation of Ca2+ concentration in cytosol ie (Ca2+i) constitutes the signal
34
(ca2+i) (intracellular ion concentration) levels increase by:
Influx of Ca2+ from outside cell via Ca2+ channel proteins in the plasma membrane Release of Ca2+ from intracellular stores ie endoplasmic recticulum (ER), sarcoplasmic reticulum (SR) and mitochondria (caused mainly via IP3)
35
(ca2+i) levels controlled/reduced via ATPase pumps in:
The plasma membrane (pumps out Ca2+) ER, SR and mitochondrial membrane (sequester Ca2+ back into organelle)
36
What is the structure and function of calmodulin?
Has 4 ca2+ binding sites Activated when (ca2+i) increases above 500nm Ca2_ bound calmodulin binds and activity of its target proteins
37
How can termination of signalling events occur?
Eliminate extracellular signalling molecule Enzymatic degradation Deactivate signal transduction molecules Dephosphorylation by phosphatases Degradation by enzymes
38
How is an activated receptor removed from cell membrane by endocytosis?
Receptor and signal molecule (Ligand) are internalised: Either the receptor and signalling molecules are separated and the receptor is recycled to surface and ligand destroyed Or The the receptor and ligand are both destroyed
39
How does a signalling molecule (or ligand) bind to its specific receptor?
Ensures specificity of response ie lock and key The cell can also influence repsonse by: Regulating the number of receptors Synthesising different isoforms of the receptor Example – growth hormone binds to its receptor through complementary molecular structure
40
What is an agonist?
Agonist: A molecule that binds and activates a receptor, inducing signalling and a biological response eg native ligands and drugs Full agonist – full activation Partial agonist – partial activation
41
What is an antagonist?
Antagonist: A molecule that binds to a receptor, but does not induce signalling and a biological response eg native ligands and drugs
42
What are the 3 types of cell surface receptor?
Ion channel linked receptor (ionotropic receptor) G-protein coupled receptor (metabotropic receptors) Enzyme linked receptor Intrinsic enzyme activity Recruit enzyme from cytoplasm
43
What are ion channel linked receptors and what can they be modified by?
Act as gates Ligand binding causes receptor to change shape and open gate Allows ion flow passively through channel Can be pharmacologically modified by: Channel blockers (physically block channel) Channel modulators (bind to channel and enhance or inhibit opening)
44
What is a chemical synapse?
Synaptic vesicles containing neurotransmitter Presynaptic membrane – voltage gated Ca2+ channels Postsynaptic membrane – ligand gated ion channels Note: synaptic transmission end when the neurotransmitter is either taken up by the synaptic terminal or degraded
45
What is GPCR?
Largest family of cell surface receptors in biology Bind an enormous range of extracellular signalling molecules 800 GPCRs in human, at least twice as many in other mammals Mediate a wide array of physiological processes (including odorant detection)
46
What is the structure of GPCR?
All GPCRs have a similar structure: Extracellular ligand binding region Seven alpha helices that span the membrane Intracellular portion interacts with a trimeric G protein
47
What are g-proteins?
- inactive when bound to GDP - active when bound to GTP - intrinsic GTPase activity * hydrolysis of GTP to GDP switches off protein - exists in 2 forms * within trimeric complex (used by gpcks) * as a single monomeric protein
48
What is a trimeric G-protein?
Trimeric G protein: 3 subunits ie alpha, beta, gamma Galpha unit binds GDP and GTP and has the GTPase activity
49
How is the signal relayed via the GPCR?
Binding of ligand alters the conformation of the receptor Galpha unit binds to the receptor Binding of galpha protein allows release of GDP and its exchange for GTP Alpha subunit is active and dissocitates from the beta and gamma units Both active galpha subunit and betagamma complex can now interact with the effector molecules to relay the signal – focus on galpha subunit Relaying the signal: GTP bound activated Galpha unit binds to an effector molecule altering its activity
50
How is a g-protein switched off?
Galpha subunit hydrolyses the GTP to GDP – oocurs in seconds – can use RGS protein to aid hydrolysis Galpha dissociates from effector molecule Alpha subunit having returned to its orginal GDP inactive conformation can reassemble with the beta-gamma complex to form iactive trimeric G protein *RGS = regulator of G-protein signalling
51
What are G-alpha units?Galpha exsits in mumerous classes:
Determined by which effector molecule with galpha subunit couples with and the resulting effect There are 23 known classes of Galpha units coupling to various effect molecules, but three most common classes are shown below (which you need to know)
52
What are the 3 Alpha units we need to know and the effect they have?
CLASS OF PROTEIN – EFFECTOR MOLECULE – EFFECT ON EFFECTOR MOLECULES GalphaS – adenylyl cyclase – stimulation increase in cAMP GalphaI - adenylyl cyclase – inhibition decrease in cAMP GalphaQ – phospholipuase C – stimulation increase in DAG and IP3
53
What do you need to remember about GPCR signalling pathways?
Not shown but REMEMBER: Signalling pathway amplifies original signal PKA can also enter the nucleus and effect transcription factors involved in mediating the longer term coordinated events in this biological response
54
How is cholera an example of dysregulated g-protein signalling?
Cholera toxin binds to GalphaS and fixes it in GTP bound conformation Over stimulation of adenylyl cyclase and cAMP production Downstream signalling effects transporters involved in ion transport leading to water loss Figure shows neutralisation of cholera toxin with nanoparticle decoys for treatment of cholera
55
What does LTP mean?
LTP – long term potentiation
56
What are RTKs?
The most well studied receptors with intrinsic enzyme activity are the receptor tyrosine kinases (RTKs) RTKs consist of: Extracellular domain which binds the ligand (mainly growth factors) Transmembrane domain Intracellular or cytoplasmic domain which contains the tyrosine kinsase site A tyrosine kinase adds phosphate groups from ATP to only tyrosine residues on target proteins Reminder: In animal cells, two classes of protein kinase exists, i.e tyrosine kinases and serine/threonine kinases
57
How are RTKs activated?
Requires dimerization of two receptor monomers Activates the tyrosine kinase in each receptor Kinase phosphorylates tyrosine's on opposite receptor tail i.e transphosphorylation Recruitment/binding of adaptor and/or effector signalling molecules directly to the phosphorylated tyrosine's to initiate signalling
58
How do RTKs relay or transduce signals?
RTKs commonly utilise the monomeric g-protein Ras to relay or transduce the signal: Activated receptor either directly or indirectly (via an adaptor protein) binds and activates the GEF for Ras, thereby activiting this key signalling molecule.
59
How is glucose uptake regulated in muscle and fat cells via activation of the insulin receptor?
Glucose transporters ie GLUT-4 are stored in walls of cytoplasmic vesicles Insulin induced IRS-1/PI-3 kinase/PKB signalling triggers vesicle translocation to the plasma membrane Vesicles fuse with membrane where they take up glucose and pass it into the cell Note: insulin induced signalling has multiple cellular effects which also include decreasing glycogen metabolism and promoting glycolysis
60
What are JAK and what is its mechanism of action?
Cytokine receptors recruit Janus kinase (JAK) to help initiate signal transduction Mechanism of action: Cytokine receptors lack intrinsic kinase activity Recruit soluable tyrosine kinase ie JAK Ligand binding eg prolactin causes: Receptor dimerisation and JAK recruitment and activation JAKs phosphorylate each other and the receptor Recruitment of STAT transcription factor to phosphorylated tyrosine residues on the receptor
61
What are intracellular receptors?
Intracellular receptors – also known as nuclear receptors In the absence of ligand, they can be found in the nucleus or the cytoplasm After binding ligand, cytoplasmic receptors will translocate to the nucleus Binds lipid soluble molecules such as steroid hormones or small molecules that can pass through the lipid bilayer Exert effects by affecting gene transcription Ie activated receptor is a ligand activated transcription factor
62
What are nuclear receptors and what do they contain?
Nuclear receptors are ligand-activated transcription factors Receptors contain: A ligand binding domain A DNA binding region (binds to ‘reponse’ elements in the promoter region of target genes) N-terminal variable region which can be modified by other molecules to enhance transcriptional abilities
63
How is gene transcription by cortisol mediated?
Cortisol is produced in the adrenal glands in response to stress Passes through lipid bilayer and binds to its cytoplasmic nuclear receptor Ligand bound receptor translocates to nucleus Binds to regulatory response elements in target gene to drive gene transcription NOTE: nuclear receptors for some other steroid hormones, thyroid hormones, fatty acids and retinoids are found in the nucleus bound to the response element in gene even in the absence of ligand – bound to transcriptional repressor which is released when ligand binds
64
How does oestrogen receptor (ER) work in relation to breast cancer?
Oestradiol (an oestrogen) is synthesised from testosterone by an enzyme called aromatase Oestradiol is hydrophobic and therefore crosses the nuclear membrane Within the nucleus, oestradiol binds to oestrogen receptors (ER) which dimerise, associate with co-activators and form a complex which acts as a transcription factor The transcription factor activates Estrogen Repsonse Elements, altering the transcription of target genes
65
What is the variation in cell signalling in plants?
Plant signalling mechanisms can be relatively rapid through to extremely slow
66
What is the first cell-cell communication in plants principle? (distance)
Similar to animal cells, extracellular communication in plants is designed by the distance travelled by the signalling molecule to reach its target cell Long distance (endocrine) Slow via vascular system ie xylem and phloem Short distance (paracrine) Most common No distance – same cell (autocrine)
67
What are the mechanisms of transport in vascular systems, into cells and from cell to cell?
Via active transport via transport proteins Passive – freely diffusible Via plasmodesmata
68
What is juxtacrine signalling via plasmodesmata?
Comprised of cytoplasmic channels linking adjacent cells 30-60nm in diameter (cf gap junctions with 1.5nm diameter) Allows passage of both small molecules and macromolecules Aids electrical signalling between plant cells
69
What does electrical signalling in plants allow?
Allows relatively rapid long-distance communication eg in response to stress damage Food capture in carnviorous plants
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How does electrical signalling in Venus fly traps work?
Stimulation of sensory trigger hairs activates mechano-sensitive ion channels Leads to depolarisation of membrane and generation of an action potential Changes turgor pressure in hinge cells causing closure of leaf lobes
71
Overview of signal transduction in plants
Respond to environmental or physiological signals Possess similar transduction components to animals Membrane enzyme linked receptors and intracellular receptors, with and without kinase activity (but negligible existence of GPCRs and G-proteins_ Uses mainly serine/threonine kinases Intracellular signalling molecules eg lipid signalling molecules Ca2+ Signal transduction can illicit rapid responses but mainly relies on altering gene expression (slow response) By positive gene activation Mainly involves inactivation of transcriptional repressor proteins
72
What is auxin?
Natural auxin in plants is indoleacetic acid (IAA) Produced in the seed of embryo, meristems of apical buds and young leaves Functions include stem elongation, root growth, branching, fruit development and apical dominance Actively transported from one cell to the next – long distance and local acting *removal of the dominant apical bud allows lateral buds to grow due to the redistribution of auxin
73
What is the phototropic response of shoots?
Mediated by the blue-light photoreceptor, phototropin (see later) Signalling induced by the receptor causes redistribution of auxin to shaded side Induces elongation on the shaded side Shoot bends towards the light
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How does auxin effect gene transcription?
Auxin utilises the mechanism of inactivating repressor proteins to affect gene transcription Auxin binds to its nuclear receptors which are ubiquitin ligases Binding promotes ubiquitinoylation and degradation of repressor protein Suppression of gene transcription in relieved
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What is ethylene?
Functions include fruit ripening and leaf abscission Can pass through cells walls or diffuse through air
76
What is the ethylene response?
Ethylene receptors are found in the membrane of the endoplasmic reticulum and golgi In the absence of ethylene, the ethylene receptor is activating a kinase – promoting the destruction of the transcription regulator Deactivation of the ethylene receptor allows the transcription of ehthylene sensitive genes
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What can plants detect?
Plant photoreceptors and phototropism Plants can detect the direction, intensity and wavelength (colour) of light Light regulates key biological events in plant growth and development Plants contain 2 major classes of photoreceptors
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What are blue light receptors and the 3 types?
Contains either cryptochromes, phototropin or zeaxanthin as photopigments Cell surface receptor
79
What is phytochrome/ what does it detect?
Phytochromes (red light and far red light) Intracellular receptor
80
What are the roles of photoreceptors in plant physiology?
Cryptochromes influence de-etiolation ie development and expansion of leave ie greening after seedling growing in dark/underground Phototropins mediate phototropism by inducing signalling which influences auxin redistribution Phytochromes regulate photoperiodism ie response of plants to the period of day and night Red light (day) Far red light found at extreme end of red spectrum (night)
81
What are phytochromes?
Exist as 2 subunits and each has - A light detecting pigment or chromophore A region that has kinase activity Exist between 2 states Pr and Pfr depending on proportion of red light and far red light
82
How can Pfr modulate gene transcription?
Translocating to the nucleus Either directly binding to and activating a transcription factor Or indirectly by phosphorylating transcription factors
83
What is the definition of apotheosis and examples?
Apotosis - (Gr. Falling as in leaves) a process seen in multicellular organisms, by which specific cells are killed and removed for the benefit of the organism 60 billion adult human cells per day die via apotosis Apoptosis is essential for animal development Examples include: Removal of redundant structures Embryogenesis (eg sculpting of limbs)
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How does apoptosis maintain homeostasis in organisms?
Regulation of cell numbers Too much – degenerative diseases eg Neurodegenerative disorders, ischaemic heart disease or autoimmune diseases Too little – diseases of over-proliferation eg solid tumours, leukaemia
85
What are the causes of cells being damaged beyond repair?
DNA damage When repair mechanisms cannot cope with damage Accumulation of misfolded proteins Causes endoplasmic reticulum stress and cell death Linked with neurodegenerative disorders Cells infected by certain viral agents Limits spread of infection
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What are the ultrastructural changes to a cell during/after apoptosis?
Ultrastructural changes (note: these changes are irreversible once apoptosis is triggered) Cell shrinkage Chromatin condensation Fragmentation of intracellular contents and membrane blebbing Formation of apoptotic bodies (ABs) Membrane bound portions of cytoplasm and organelles Phagocytic ingestion of Abs and degradation
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Apoptosis versus traumatic cell death (necrosis)
Apoptotic cells have large membrane bleb and intact membrane and a cell dying of necrosis will have a ruptured membrane
88
What is apoptosis mediated by in animal cels?
In animal cells, apoptosis is mediated by a family of suicide proteases called caspases (Cysteinyl-aspartate-specific proteases)
89
What is caspase?
Cysteine at active site Cleaves target proteins at specific aspartic acids Synthesised as inactive procaspase Activated by proteolytic cleavage at own aspartic residues
90
What are the two types of caspase activity that mediates apoptosis?
Initiator caspases: Undergo autocleavage Activates other caspases Effector caspases: Activate other effector caspases after cleavage by initiator caspase Cleave cellular proteins
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What are the nuclear effects seen during apoptosis?
Hallmark cleavage of chromosomal DNA Caspase cleaves a protein that normally blocks endonuclease action: DNA cleavage by endonucleases cuts DNA into internucleosomal units of 180-200 base pairs Apoptotic cells show DNA ‘laddering’ on electrophoresis
92
What is the key 'engulf me' signal in apoptosis? Where is in usually found?
Key ‘engulf me’ signal is phosphotidylserine (PS) Phagocytes ie macrophages and neutrophils recognise ‘engulf me’ or ‘cell corpse’ signals on cell surface of apoptotic bodies PS usually found in inner leaflet of plasma membrane In apoptosis, some PS molecules move to outer leaflet Action of caspases activate scramblase (Xrkr8) which mediates PS flipping
93
What is the mitochondrial intrinsic pathway for apoptosis?
Intrinsic pathway (mitochondrial) Lack of trophic factor induced signalling ie growth factor/ survival factor withdrawal NB cells are prevented from dying by ‘trophic’ factors DNA damage (by radiation or toxins) Protein misfolding (ER stress) Whether the intrinsic pathway is activated depends upon the release of cytochrome c from the mitochondria Regulated by a balance between molecules that promote apoptosis and those which inhibit apoptosis
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Examples of molecules that regulate apoptosis?
Pro-apoptotic molecules – BAX, BAK, BAD Anti-apoptotic molecules – BCL-2, BCL-XL
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How does BLC-2 inhibit apoptosis?
BLC-2 inhibits apoptosis by preventing release of cytochrome c from the mitochondria by blocking action of BAX and BAK BAX/BAK promote apoptosis by forming channels in the outer mitochondrial membrane to allow cytochrome c release BCL-2 > BAX: apoptosis prevented BAX > BCL-2 : apoptosis occurs
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How does Survival factor or growth factor signalling suppresses apoptosis?
Increasing the transcription and translation of anti-apoptotic molecules Signal transduction kinases (eg protein kinase B) which are activated by stimulation of trophic receptors, phosphorylate and inactivate pro-apoptotic molecules
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What is the extrinsic pathway of apoptosis?
Used by cells of the immune system to kill their targets (example cancer cells, pathogen infected cells) Initiated by death ligands on/or secreted by the immune cells, binding to their receptors on the target cell Activated death receptors result in caspase cascade Different initiator caspases used compared with intrinsic route ie procaspase 8 in extrinsic route
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