Biomedical Engineering Reference
In-Depth Information
(a)
(b)
(c)
(d)
(e)
Cell volumes throughout apoptosis
calcification
cytoplasmic solids
cytoplasmic fluids
nuclear fluids
nuclear solids
Cell and nuclear diamete r vs. time
cell diameter
nuclear diameter
100
20
90
18
80
16
70
14
60
12
50
10
40
8
30
6
20
4
10
0
2
0
2
4
6
8
10
0
2
4
6
8
10
time (hours)
time (hours)
Fig. 2 Apoptosis schematic. Top: a, b While pro-apoptotic signals work to activate initiator
caspases and then effector caspases to degrade subcellular structures and DNA, the cell rapidly
shrinks by removing fluid. c The cell sheds its cytoplasm as membrane-encapsulated blebs.
d, e Chromatin is condensed. DNA is fragmented, encapsulated into apoptotic bodies, and
phagocytosed by nearby cells. Bottom: Preliminary simulation [ 64 ] of apoptotic cell volume
composition (left) and nuclear/total diameters (right). Figures provided courtesy of [ 64 ]
mitochondrial membranes are permeabilized and release cytochrome c and other
proteins into the cytoplasm to activate the initiator caspases. In the second, pro-
apoptotic signals directly activate the initiator caspases independently of the
mitochondria [ 38 ]. Mitochondria-regulated apoptosis disrupts ATP (energy) pro-
duction by decreasing the mitochondrial membrane potential. The cell's remaining
ATP store is depleted by energy-intensive processes throughout apoptosis [ 80 ]. See
[ 65 , 80 ] for greater detail on early regulation of apoptosis. While we do not describe
them here, there are also caspase-independent apoptosis mechanisms [ 25 , 38 ].
After apoptosis is initiated, various ion pumps on the cell's surface quickly
remove water from the cell, resulting in significant volume loss [ 6 , 14 , 65 , 67 ]. See
Fig. 2 (top: a, b) and Fig. 2 (bottom). Indeed, cell shrinkage and separation from
neighboring cells are some of the first visible signs of apoptosis in histopathology.
The initiator caspases cleave and activate effector caspases (e.g., Caspase-3),
which degrade cellular proteins [ 25 , 38 ]. The cytoplasm collects in bulbous
''blebs'' that are shed from the cell. See Fig. 2 (top: c). These blebs surround cell
protein
fragments
with
intact
membrane,
and
thus
typically
do
not
trigger
inflammation [ 25 , 44 , 65 ].
In the nucleus, the chromatin condenses and is henceforth degraded by endo-
geneous endonucleases into short fragments of DNA [Fig. 2 (top: d)]. Protein
cross-linking (e.g., by transglutaminase [ 32 ]) helps to bundle these fragments into
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