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Updated: Apr 11, 2026

Examining BCL-2 Family Function with Large Unilamellar Vesicles
Published on: October 5, 2012
BCL-2 family member BOK promotes apoptosis in response to endoplasmic reticulum stress
Marcos A Carpio1, Michael Michaud1, Wenping Zhou1
1Department of Pathology, Yale School of Medicine, New Haven, CT 06520;
Abstract:
B-cell lymphoma 2 (BCL-2) ovarian killer (BOK) is a BCL-2 family protein with high homology to the multidomain proapoptotic proteins BAX and BAK, yet Bok(-/-) and even Bax(-/-)Bok(-/-) and Bak(-/-)Bok(-/-) mice were reported to have no overt phenotype or apoptotic defects in response to a host of classical stress stimuli. These surprising findings were interpreted to reflect functional compensation among the BAX, BAK, and BOK proteins. However, BOK cannot compensate for the severe apoptotic defects of Bax(-/-)Bak(-/-) mice despite its widespread expression. Here, we independently developed Bok(-/-) mice and found that Bok(-/-) cells are selectively defective in their response to endoplasmic reticulum (ER) stress stimuli, consistent with the predominant subcellular localization of BOK at the ER. Whereas Bok(-/-) mouse embryonic fibroblasts exposed to thapsigargin, A23187, brefeldin A, DTT, geldanamycin, or bortezomib manifested reduced activation of the mitochondrial apoptotic pathway, the death response to other stimuli such as etoposide, staurosporine, or UV remained fully intact. Multiple organs in Bok(-/-) mice exhibited resistance to thapsigargin-induced apoptosis in vivo. Although the ER stress agents activated the unfolded protein response, both ATF4 and CHOP activation were diminished in Bok(-/-) cells and mice. Importantly, BAX and BAK were unable to compensate for the defective apoptotic response to ER stress observed in SV40-transformed and primary Bok(-/-) cells, and in vivo. These findings support a selective and distinguishing role for BOK in regulating the apoptotic response to ER stress, revealing--to our knowledge--the first bona fide apoptotic defect linked to Bok deletion.
Insights
B-cell lymphoma 2 (BCL-2) ovarian killer (BOK) protein deletion selectively impairs apoptosis in response to endoplasmic reticulum (ER) stress. This study reveals BOK
Area of Science:
- Cell Biology
- Molecular Biology
- Apoptosis Research
Background:
- B-cell lymphoma 2 (BCL-2) ovarian killer (BOK) is a BCL-2 family protein homologous to BAX and BAK.
- Previous studies reported no overt phenotype in Bok-deficient mice, suggesting functional compensation by BAX and BAK.
- However, BOK's role in apoptosis, particularly under endoplasmic reticulum (ER) stress, remained unclear.
Purpose of the Study:
- To investigate the specific role of BOK in apoptosis, particularly in response to ER stress.
- To determine if BOK can compensate for apoptotic defects in BAX and BAK deficient cells.
- To elucidate the molecular mechanisms underlying BOK's function in ER stress-induced apoptosis.
Main Methods:
- Generation and analysis of independently developed Bok-deficient (Bok(-/-)) mice and cells.
- Assessment of apoptotic responses in Bok(-/-) cells and tissues using various stress stimuli, including ER stress agents (thapsigargin, A23187, etc.).
- Evaluation of mitochondrial apoptotic pathway activation, unfolded protein response (UPR) signaling (ATF4, CHOP), and BAX/BAK compensation.
Main Results:
- Bok(-/-) cells exhibited selectively reduced apoptosis upon exposure to ER stress stimuli, with intact responses to other apoptotic triggers.
- Bok(-/-) mice showed resistance to thapsigargin-induced apoptosis in multiple organs.
- Activation of ATF4 and CHOP was diminished in Bok(-/-) cells and mice, and BAX/BAK could not compensate for the ER stress-induced apoptotic defect.
Conclusions:
- BOK plays a selective and crucial role in regulating apoptosis specifically in response to ER stress.
- The deletion of BOK leads to a bona fide apoptotic defect under ER stress conditions.
- BAX and BAK cannot functionally compensate for BOK's role in ER stress-mediated apoptosis, highlighting BOK's unique contribution.
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