Serine proteases mediate apoptosis-like cell death and phagocytosis under caspase-inhibiting conditions
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Updated: Aug 8, 2026

In Vivo Biosensor Tracks Non-apoptotic Caspase Activity in Drosophila
Published on: November 27, 2016
L Egger1, J Schneider, C Rhême
1Institute of Molecular Medicine and Cell Research, Albert-Ludwigs-University Freiburg, Zentrale Klinische Forschung, Breisacherstrasse 66, D-79106 Freiburg, Germany.
Abstract:
Effective execution of apoptosis requires the activation of caspases. However, in many cases, broad-range caspase inhibitors such as Z-VAD.fmk do not inhibit cell death because death signaling continues via basal caspase activities or caspase-independent processes. Although death mediators acting under caspase-inhibiting conditions have been identified, it remains unknown whether they trigger a physiologically relevant cell death that shows typical signs of apoptosis, including phosphatidylserine (PS) exposure and the removal of apoptotic cells by phagocytosis. Here we show that cells treated with ER stress drugs or deprived of IL-3 still show hallmarks of apoptosis such as cell shrinkage, membrane blebbing, mitochondrial release of cytochrome c, PS exposure and phagocytosis in the presence of Z-VAD.fmk. Cotreatment of the stressed cells with Z-VAD.fmk and the serine protease inhibitor Pefabloc (AEBSF) inhibited all these events, indicating that serine proteases mediated the apoptosis-like cell death and phagocytosis under these conditions. The serine proteases were found to act upstream of an increase in mitochondrial membrane permeability as opposed to the serine protease Omi/HtrA2 which is released from mitochondria at a later stage. Thus, despite caspase inhibition or basal caspase activities, cells can still be phagocytosed and killed in an apoptosis-like fashion by a serine protease-mediated mechanism that damages the mitochondrial membrane.
Insights
Even with caspase inhibitors, cells undergo apoptosis-like death via serine proteases. This process involves mitochondrial damage and phagocytosis, revealing alternative cell death pathways.
Area of Science:
- Cell Biology
- Biochemistry
- Molecular Biology
Background:
- Apoptosis execution relies on caspases.
- Caspase inhibitors (e.g., Z-VAD.fmk) often fail to block cell death due to basal caspase activity or caspase-independent pathways.
- Physiological relevance of death mediators under caspase inhibition is unclear.
Purpose of the Study:
- To determine if caspase-independent cell death pathways exhibit hallmarks of apoptosis.
- To identify the mediators of apoptosis-like cell death under caspase inhibition.
- To investigate the role of serine proteases in this process.
Main Methods:
- Treatment of cells with ER stress drugs or IL-3 deprivation.
- Application of caspase inhibitor Z-VAD.fmk and serine protease inhibitor Pefabloc (AEBSF).
- Assessment of apoptosis hallmarks: cell shrinkage, membrane blebbing, cytochrome c release, phosphatidylserine (PS) exposure, and phagocytosis.
Main Results:
- Cells exhibited apoptosis hallmarks (cell shrinkage, membrane blebbing, cytochrome c release, PS exposure, phagocytosis) despite Z-VAD.fmk treatment.
- Co-treatment with Z-VAD.fmk and AEBSF abolished these events, implicating serine proteases.
- Serine proteases acted upstream of mitochondrial membrane permeability increase.
- Omi/HtrA2, a mitochondrial serine protease, was released later.
Conclusions:
- Cells undergo apoptosis-like death and phagocytosis mediated by serine proteases, even when caspases are inhibited.
- This serine protease-driven pathway damages the mitochondrial membrane.
- Identifies a critical caspase-independent cell death mechanism relevant to apoptosis.
Related Concept Videos
Overview of Cell Death
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...
Apoptosis
Caspases
The Extrinsic Apoptotic Pathway
The Intrinsic Apoptotic Pathway
Phagocytosis of Apoptotic Cells
Normal cells contain receptors that prevent them from being recognized by phagocytes.

