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Published on: March 24, 2023
Apoptosis repressor with caspase recruitment domain, a multifunctional modulator of cell death
Agnieszka H Ludwig-Galezowska1, Lorna Flanagan, Markus Rehm
1Department of Physiology & Medical Physics, Royal College of Surgeons in Ireland, Dublin, Ireland.
Abstract:
Apoptosis repressor with caspase recruitment domain (ARC) is a highly potent and multifunctional inhibitor of apoptosis that is physiologically expressed predominantly in post-mitotic cells such as cardiomyocytes, skeletal muscle cells and neurons. ARC was also found to be up-regulated in many forms of malignant tumours. ARC impairs the cellular apoptotic responsiveness to a wide range of stresses and insults, including extrinsic apoptosis initiation via death receptor ligands, dysregulation of cellular Ca(2+) homeostasis and endoplasmatic reticulum (ER) stress, genotoxic drugs, ionizing radiation, oxidative stress and hypoxia. ARC is subject to both transcriptional and post-translational regulation and exhibits its function through a multitude of molecular interactions with upstream transducers of apoptosis signals. This review summarizes, structures and comments on the published knowledge regarding ARC and its roles in modulating apoptotic cell death responsiveness in physiological and pathophysiological contexts.
Insights
Apoptosis repressor with caspase recruitment domain (ARC) is a potent apoptosis inhibitor found in post-mitotic cells and tumors. It blocks cell death signaling from various stresses, impacting physiological and pathological processes.
Area of Science:
- Cell Biology
- Molecular Biology
- Biochemistry
Background:
- Apoptosis repressor with caspase recruitment domain (ARC) is a key inhibitor of programmed cell death.
- Physiologically, ARC is predominantly expressed in post-mitotic cells like neurons and cardiomyocytes.
- ARC is frequently upregulated in various malignant tumors, suggesting a role in cancer progression.
Purpose of the Study:
- To review and synthesize current knowledge on ARC's function.
- To elucidate ARC's role in modulating apoptosis in both normal and disease states.
- To structure and comment on ARC's transcriptional and post-translational regulation.
Main Methods:
- Literature review and synthesis of published research on ARC.
- Analysis of ARC's molecular interactions with apoptosis signaling pathways.
- Examination of ARC's expression patterns in physiological and pathological contexts.
Main Results:
- ARC inhibits apoptosis induced by diverse stimuli including death receptor ligands, ER stress, genotoxic drugs, radiation, oxidative stress, and hypoxia.
- ARC's function is regulated at both transcriptional and post-translational levels.
- ARC interacts with multiple upstream signaling molecules to block apoptosis.
Conclusions:
- ARC is a critical regulator of apoptosis, impacting cell survival in various cellular contexts.
- Understanding ARC's multifaceted roles is essential for comprehending physiological cell death and pathological conditions like cancer.
- Further research into ARC's regulatory mechanisms and interactions may reveal therapeutic targets.
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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...

