Apoptosis and age-related disorders: role of caspase-dependent and caspase-independent pathways

Pierluigi Nicotera1

  • 1Chair of Molecular Toxicology, Faculty of Biology, University of Konstanz, P.O. Box X911, Germany. pn10@le.ac.uk

Toxicology Letters
|June 8, 2002
PubMed

Insights

Apoptosis involves caspases, but other proteases may cause cell death. Caspase inhibitors might treat diseases with excess apoptosis, but alternative cell death pathways exist in neurodegeneration.

Area of Science:

  • Cell Biology
  • Neuroscience
  • Biochemistry

Background:

  • Apoptosis is a programmed cell death pathway primarily mediated by caspases.
  • Neurodegenerative diseases involve neuronal loss and connectivity deficits, often linked to mitochondrial dysfunction.
  • Mitochondrial dysfunction can inhibit caspase activation, potentially leading to necrosis instead of apoptosis.

Purpose of the Study:

  • To investigate the role of proteases beyond caspases in apoptosis-like cell death.
  • To explore the therapeutic potential of caspase inhibitors in diseases with excessive apoptosis.
  • To understand the implications of alternative cell death execution pathways in neurodegeneration.

Main Methods:

  • Review of existing literature on apoptotic pathways and protease families.
  • Analysis of mechanisms underlying cell death in neurodegenerative conditions.
  • Discussion of recent findings on multiple execution pathways in degenerating neurons.

Main Results:

  • Evidence suggests non-caspase proteases can contribute to apoptotic-like features.
  • In neurodegeneration, ATP depletion may shift cell death from apoptosis to necrosis.
  • Inhibition of apoptosis can lead to 'undead' cells, promoting neuroinflammation.

Conclusions:

  • Caspase-independent pathways play a role in cell death, complicating caspase inhibitor therapy.
  • Understanding diverse cell death mechanisms is crucial for treating neurodegenerative diseases.
  • Neurons may utilize multiple execution pathways during degeneration, necessitating a broader therapeutic approach.

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