apoptosis popad 2014 v2

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    APOPTOSIS

    By

    Dr.M.Anthony David

    Professor of Physiology

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    Apoptosis is

    Programmed cell death

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    Greek Apo meaning awayfrom Ptosismeaning todroop or to fall.

    Apoptosis :Physiological: To fallaway : ell s!icide

    "ecrosis: a pathologicaldestr!ction of cells : ell m!rder

    ETYMOLOGY

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    Necrosis or Apoptosis

    NE!O"#" APOPTO"#"

    ell #!rder ell S!icide

    Passi$e Acti$e

    Pathological PhysiologicalSwelling % &ysis

    seenondensation % ross'

    linking seen

    (issipated PhagocytosedIn)ammation seen "o in)ammation

    *+ternally ind!ced Internally or e+ternallyind!ced

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    ommon in ,etal de$elopment as wellas in ad!lthood.

    ommon e+amples:#any ne!rons !ndergo apoptosisd!ring remodelling of the "S

    Inappropriate clones in the imm!nesystem.-emo$ing the wes etween /ngers

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    P$Y"#OLOG#AL %APOPTO"#"

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    (isappearance of the #!llerian System inthe males

    -emo$al of the *ndometri!m d!ring

    menstr!ationThe epidermal layers of o!r skin arecontin!ally replaced y germinal

    epitheli!m.0orn o!t cells remo$ed y apoptosisSame with the enterocytes on theIntestinal $illi and micro$illi

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    P$Y"#OLOG#AL %APOPTO"#"

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    A!toimm!ne diseases*+ample : Systemic &!p!s

    *rythematos!s"e!rodegenerati$ediseasess :*g : Parkinson1s disease

    arcinomas: ancers*g : O$arian ancer2 Testic!larcancer 7

    APOPTO"#" % Pathological

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    3. (eath signal : Initiators of cell death:i. *+ternal

    ii. Internal

    4. ommitment to die : -eg!lators of

    Apoptosisi. 5&'42 5A(2 5A62 p78etc

    8. *+ec!tion of death : aspase Pathwaysi. ,as receptor acti$ation

    ii. eramide generationiii. ("A damage

    9. *ng!lfment : Phagocytosis

    Mechanis& of Apoptosis

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    STAG*S O, APOPTOSISHealthy cell

    DEATH SIGNAL

    Commitment to die (reversible)

    EXECTI!N (irreversible)

    (ead cell condensed2 crosslinked;

    ENGL"#ENT $ %HAG!C&T!SIS

    DEG'ADATI!N

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    ells are alanced etween life and deat

    DAMAGE %hysioloical death sinals

    DEATH SIGNAL

    P!O'

    APOPTOT#P!OTE#N"

    ANTIA%!%T!TIC

    %'!TEINS

    BAX

    BAD

    BCL-2

    BCL-XL

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    A%!%T!SIS* Controlled %rocess

    Physiological Intrinsic

    receptor pathway damage pathway

    MITOCHONDRIAL SINALS

    Cas+ase cleavae cascade

    !rderly cleavae o, +roteins and DNA

    Crosslin-in o, +roteinsA+o+totic bodies

    %HAG!C&T!SIS11

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    A%!%T!SIS* control

    'ece+tor +ath.ay*

    Death rece+tors*("AS/ TN"'/ etc)

    "AS liand TN"

    Death

    domains

    Adaptor proteins

    %rocas+ase 0 (inactive) Cas+ase 0 (active)

    %roe1ec2tion cas+ase (inactive)E1ec2tion cas+ase (active)

    Death#IT!CH!ND'IA

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    APOPTOSIS: control

    Intrinsic pathway !damage"#

    Mitochondria

    Cytochrome c release

    Pro-caspase clea!a"e

    Pro-e#ec$tion caspase %&' clea!a"e

    Caspase %&' clea!a"e o( cell$lar proteins)

    *$clease acti!ation)

    +tc,

    Death

    BAX

    BAD

    BCL-XL

    BCL-2+

    -

    Sma!D"A#$%

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    A%!%T!SIS* in embryoenesis

    #or+hoenesis (eliminates e1cess cells)*

    e33 .eb s+aces bet.een diits

    Selection (eliminates non,2nctional cells)*

    e33ne2rons

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    A&%&'%S"S( in em)r*oenesis

    Or"an sie %eliminates e#cess cells':

    ,eression o d.t s*stem d.rin se/ dierentiation

    e M.erian d.ts

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    A%!%T!SIS* im+ortant in imm2nity

    Imm2nity (eliminates danero2s cells)*

    Sel, antienreconi4in cell

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    A%!%T!SIS* in ad2ltsTiss2e remodelin (eliminates cells no loner needed)*

    5irin mammary land Late +renancy/ lactation Invol2tion

    (non+renant/ nonlactatin

    A+o+tosis

    A+o+tosis- Testosterone

    %rostate land

    %renant 2ter2s Invol2tion a,ter deliveryA+o+tosis

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    A%!%T!SIS* in ad2ltsTiss2e remodelin (eliminates 2nnecessarycells)*

    'estin lym+hocytes 6 antien (e33 in,ection) antien (e33 recovery)

    A+o+tosis

    Steroid imm2nos2++ressants* -ill

    Lym+hocytes by a+o+tosisLym+hocytes +oised to die by a+o+tosis

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    APOPTOSIS : in ad!ltsMaintains oran sie and .ntion

    A+o+tosis6 cell division

    Cells lost by a+o+tosis are re+laced by cell division

    E33 Cyclical sheddin o, endometri2m

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    Aging : *+cessi$e % &ess of apoptosis*+cessi$e Apoptosis d!e to acc!m!latedo+idati$e damage a!ses tiss!e degeneration

    &ess Apoptosis d!e to defecti$esensors

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    A%!%T!SIS* %atholoical (in Disease)

    T!! #CH* Tiss2e atro+hy

    T!! LITTLE* Hy+er+lasia

    Ne2rodeeneration

    Thin s-in

    etc

    CancerAtherosclerosis

    etc

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    Ne(rons cannot replace the&selvesnor&ally

    Die d(e to loss of proper connections) lossof proper gro*th factors +e.g. NG,-) or

    da&age +especially oidative da&age-Ne(ronal dysf(nction or da&age res(lts in

    loss of synapses"ynaptosis +reversi/le-

    Apoptosis +irreversi/le-Ne(rodegenerative diseases incl(de%PA!0#N"ON1" D#"EA"E

    AL2$E#ME!1" D#"EA"E

    $3NT#NGTON1" D#"EA"E 22

    APOPTO"#"% !ole in DiseaseNe(rodegeneration

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    Apoptosis eliminates damaged cellsdamage >? m!tations >? cancerT!mor s!ppressor p78 controls senescence

    and apoptotic responses to damage#ost cancer cells defecti$e in apoptoticresponse

    =igh le$els of anti'apoptotic proteins Or&ow le$els of pro'apoptotic proteinsa!ses A"*-

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    APOPTO"#"% !ole in Diseaseancer

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    Programmed cell death is physiological It has a role to play in the fetalde$elopment.

    It also helps !s in ad!lt li$es in therecycling of certain tiss!es

    It helps in the #enstr!al cycle in women

    In disease it is seen in cancers and inne!rodegenerati$e diseases

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    Apoptosis % A !evie*

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