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Updated: Jun 10, 2026

Assessment of Open Probability of the Mitochondrial Permeability Transition Pore in the Setting of Coenzyme Q Excess
Published on: June 1, 2022
Mitochondria and cell death: outer membrane permeabilization and beyond
Stephen W G Tait1, Douglas R Green
1Department of Immunology, St Jude Childrens Research Hospital, Memphis, Tennessee 38105, USA.
Abstract:
Mitochondrial outer membrane permeabilization (MOMP) is often required for activation of the caspase proteases that cause apoptotic cell death. Various intermembrane space (IMS) proteins, such as cytochrome c, promote caspase activation following their mitochondrial release. As a consequence, mitochondrial outer membrane integrity is highly controlled, primarily through interactions between pro- and anti-apoptotic members of the B cell lymphoma 2 (BCL-2) protein family. Following MOMP by pro-apoptotic BCL-2-associated X protein (BAX) or BCL-2 antagonist or killer (BAK), additional regulatory mechanisms govern the mitochondrial release of IMS proteins and caspase activity. MOMP typically leads to cell death irrespective of caspase activity by causing a progressive decline in mitochondrial function, although cells can survive this under certain circumstances, which may have pathophysiological consequences.
Insights
Mitochondrial outer membrane permeabilization (MOMP) triggers cell death by releasing proteins, but cells can survive MOMP, potentially causing disease. This process is regulated by BCL-2 family proteins and impacts caspase activation.
Area of Science:
- Cell Biology
- Molecular Biology
- Biochemistry
Background:
- Mitochondrial outer membrane permeabilization (MOMP) is a key step in apoptosis, enabling the release of intermembrane space (IMS) proteins like cytochrome c.
- The integrity of the mitochondrial outer membrane is tightly regulated by the B cell lymphoma 2 (BCL-2) protein family, balancing pro-apoptotic and anti-apoptotic factors.
Purpose of the Study:
- To elucidate the regulatory mechanisms governing IMS protein release and caspase activity following MOMP.
- To understand the consequences of cellular survival after MOMP, irrespective of caspase activation.
Main Methods:
- The study focuses on the roles of BCL-2 family proteins, including BCL-2-associated X protein (BAX) and BCL-2 antagonist or killer (BAK), in inducing MOMP.
- Analysis of downstream events, including IMS protein release and caspase activation, following MOMP induction.
Main Results:
- MOMP, induced by BAX or BAK, leads to the release of IMS proteins, which are crucial for caspase activation.
- Cellular survival following MOMP can occur independently of caspase activity, often due to a progressive decline in mitochondrial function.
- This survival can have significant pathophysiological implications.
Conclusions:
- MOMP is a critical but complex event in cell death pathways, with multiple layers of regulation.
- The BCL-2 family plays a central role in controlling MOMP and subsequent apoptotic signaling.
- Understanding MOMP and its regulation is vital for comprehending cell death and survival, with potential relevance to various diseases.
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