Programmed cell death and its clinical implications

Bandhana Katoch1, Sonia Sebastian, Sudhir Sahdev

  • 1Department of Biochemistry, M. S. University of Baroda, Vadodara 390 002, India

Insights

Programmed cell death (PCD) is a regulated process vital for development. Alternative pathways exist beyond caspases, suggesting conserved mechanisms and therapeutic potential for diseases linked to PCD dysregulation.

Area of Science:

  • Molecular Biology
  • Cell Biology
  • Genetics

Background:

  • Programmed cell death (PCD) is a fundamental biological process in eukaryotes, crucial for development in both animals and plants.
  • Apoptosis, a well-studied form of PCD, involves a central 'death switch' including the apoptosome and executioner caspases.
  • Alternative cell death pathways exist, independent of the caspase cascade, highlighting the complexity of PCD regulation.

Purpose of the Study:

  • To explore the mechanisms and evolutionary conservation of programmed cell death pathways.
  • To investigate the role of PCD dysregulation in various disease states and aging.
  • To identify potential therapeutic targets within PCD pathways for novel medical interventions.

Main Methods:

  • Review of existing literature on apoptosis and non-apoptotic cell death pathways.
  • Analysis of conserved molecular components, such as cytochrome C release from mitochondria.
  • Correlation of PCD dysregulation with disease pathologies and aging processes.

Main Results:

  • Identification of the apoptosome and caspases as key players in apoptosis.
  • Evidence for evolutionarily conserved PCD pathways, indicated by mitochondrial cytochrome C release in plants and animals.
  • Linkage of aberrant apoptosis to diseases including neurodegeneration, cancer, and autoimmune disorders.

Conclusions:

  • Programmed cell death is a complex, conserved process with multiple regulatory pathways.
  • Dysregulation of PCD is implicated in numerous diseases and aging, presenting therapeutic opportunities.
  • Targeting specific molecules in PCD pathways offers potential for developing new drugs and gene therapies.

Related Concept Videos

Overview of Cell Death01:30

Overview of Cell Death

Cell death is an essential process where the body gets rid of old or damaged cells. Cell proliferation and death need to be balanced, as an imbalance between the two may lead to cancer or autoimmune diseases.
Cell death was observed in the early 19th century, but there was no experimental evidence to prove it. In 1842, Carl Vogt first discovered cell death in a metamorphic toad; however, it was not termed ‘cell death.’ Scientists discovered different cell death pathways only in the 20th century...
Cellular Injury V: Apoptosis and Autophagy01:22

Cellular Injury V: Apoptosis and Autophagy

Cells respond to damage and stress through highly coordinated processes that decide whether they survive or undergo controlled self-destruction. Two major pathways involved in this regulation are apoptosis, a type of programmed cell death, and autophagy, a survival mechanism that helps cells adapt to adverse conditions.ApoptosisApoptosis removes aged or injured cells to maintain tissue balance. During this process, the cell shrinks, chromatin condenses and fragments, and membrane-bound...
Cellular Injury IlI: Cellular Death01:11

Cellular Injury IlI: Cellular Death

Cell death is the irreversible loss of cellular structure and function, representing the final stage of severe injury. It plays a key role in both normal physiology and disease.Types of Cell DeathThe two main types are necrosis and apoptosis, though others like necroptosis and pyroptosis also exist.Necrosis:Necrosis is an unregulated form of cell death caused by severe injury such as trauma, toxins, or ischemia. It is characterized by cell swelling, membrane loss, rupture, and leakage of...
Necrosis01:16

Necrosis

Necrosis is considered as an “accidental” or unexpected form of cell death that ends in cell lysis. The first noticeable mention of “necrosis” was in 1859 when Rudolf Virchow used this term to describe advanced tissue breakdown in his compilation titled “Cell Pathology”.
Morphological Manifestations of Necrosis
Necrotic cells show different types of morphological appearance depending on the type of tissue and infection. In coagulative necrosis, cells become anucleated and die, but their...
Cellular Injury IV: Necrosis01:16

Cellular Injury IV: Necrosis

Necrosis is a form of irreversible cell death caused by severe injury such as ischemia, toxins, or trauma. Unlike programmed cell death, it is an uncontrolled, pathological process that typically provokes inflammation in surrounding tissues.Pathophysiologic ChangesNecrosis begins when cells sustain critical damage, leading to swelling of organelles, particularly mitochondria, and rapid ATP depletion. As energy levels decline, membrane ion pumps fail, leading to calcium influx and eventually,...
Apoptosis01:30

Apoptosis

Apoptosis is a combination of two Greek words, 'apo' and 'ptosis,' meaning separation and falling off, respectively. Hippocrates used this word to describe gangrene, which was caused due to bandaging of fractured bones. Apoptosis was distinguished from necrosis in 1970 when John Kerr reported observations of morphological changes occurring during apoptosis. During one experiment, he observed that the disruption of blood supply to the liver tissue resulted in a size reduction of the tissue.