Intrinsic apoptotic pathway
The intrinsic signaling pathway for programmed cell death involves non-receptor–mediated intracellular signals, inducing activities in the mitochondria that initiate apoptosis.
Stimuli for the intrinsic pathway include viral infections or
damage to the cell by toxins, free radicals, or radiation. Damage to the
cellular DNA can also induce the activation of the intrinsic pathway for
programmed cell death. These stimuli induce changes in the inner mitochondrial membrane
that result in the loss of transmembrane potential, causing the release of
pro-apoptotic proteins into the cytosol.
Pro-apoptotic proteins activate caspases that mediate the
destruction of the cell through many pathways. These proteins also translocate
into the cellular nucleus, inducing DNA fragmentation, a hallmark of apoptosis.
The regulation of pro-apoptotic events in the mitochondria occurs
through activity of members of the Bcl-2 family of proteins and the tumor
suppressor protein p53. Members of the Bcl-2 family of proteins may be pro- or anti-apoptotic7
The anti-apoptotic proteins are Bcl-2, Bcl-x, Bcl-xL,
Bcl-XS, Bcl-w, and BAG. Some of these proteins are currently under
investigation as potential targets for anticancertherapy.
Pro-apoptotic proteins include Bcl-10, Bax, Bak, Bid, Bad, Bim,
Bik, and Blk. It has been suggested that upregulation of these proteins or
their increased activation may offer an approach for cancer therapy.Cellular
pathways that modulate the activities of the p53 protein are also currently
being evaluated as targets for potential anticancer therapies.
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