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Genetic determinants that influence hypoxia-induced apoptosis

R M Alarcon1, N C Denko, A J Giaccia

  • 1Stanford University School of Medicine, Department of Radiation Oncology, Division of Radiation & Cancer Biology, CA 94305-5152, USA.

Novartis Foundation Symposium
|December 1, 2001
PubMed

Insights

The p53 tumor suppressor gene influences apoptosis magnitude under low oxygen, but cytochrome c release is key for initiating cell death, independent of p53 or Bax. This clarifies the mitochondrial apoptosis pathway in hypoxic conditions.

Area of Science:

  • Cell Biology
  • Molecular Biology
  • Cancer Research

Background:

  • The p53 tumor suppressor gene activates apoptosis via death receptor and mitochondrial pathways.
  • Hypoxia-induced apoptosis resistance is linked to the mitochondrial Apaf/caspase 9 pathway, not the Fas pathway.
  • The precise signaling mechanism of p53 in activating the mitochondrial pathway under hypoxia remains unclear, with potential roles for effector genes like BAX or novel factors like BNIP-3/BNIP-3L.

Purpose of the Study:

  • To elucidate the role of p53 and its effector genes in signaling mitochondrial apoptosis under hypoxic conditions.
  • To determine the involvement of specific apoptotic pathway components (Bax, cytochrome c, Apaf, caspase 9, caspase 3) in hypoxia-induced cell death.
  • To investigate whether p53 is required for the activation of the caspase cascade during hypoxia.

Main Methods:

  • Utilized genetically matched cell lines differing at key apoptotic loci (bax, cytochrome c, Apaf, caspase 9, caspase 3).
  • Assessed the necessity of these genes for hypoxia-induced apoptosis in both cell culture and transplanted tumor models.
  • Compared the signaling roles of p53, Bax, and cytochrome c in the activation of the apoptotic cascade under low oxygen.

Main Results:

  • Except for Bax, all examined genes (cytochrome c, Apaf, caspase 9, caspase 3) were essential for hypoxia-induced apoptosis.
  • Cytochrome c release plays a pivotal role in signaling apoptosis under hypoxic conditions.
  • Cytochrome c release was found to be independent of both Bax and p53.
  • p53 modulates the magnitude of apoptosis under hypoxia but is not required for caspase cascade activation.

Conclusions:

  • Cytochrome c release is a critical, p53/Bax-independent event in initiating apoptosis during hypoxia.
  • While p53 influences the extent of cell death, it is not essential for the core caspase cascade activation in response to low oxygen.
  • The findings highlight the central role of the mitochondrial pathway and cytochrome c in cellular response to hypoxic stress.

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