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Updated: Mar 22, 2026

Examining BCL-2 Family Function with Large Unilamellar Vesicles
Published on: October 5, 2012
Inactivation of prosurvival Bcl-2 proteins activates Bax/Bak through the outer mitochondrial membrane
Katelyn L O'Neill1, Kai Huang1, Jingjing Zhang2
1Eppley Institute for Research in Cancer and Allied Diseases, Fred and Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, Nebraska 68198, USA;
Abstract:
The mechanism of Bax/Bak activation remains a central question in mitochondria-dependent apoptotic signaling. While it is established that all proapoptotic Bcl-2 homology 3 (BH3)-only proteins bind and neutralize the anti-apoptotic Bcl-2 family proteins, how this neutralization leads to Bax/Bak activation has been actively debated. Here, genome editing was used to generate cells deficient for all eight proapoptotic BH3-only proteins (OctaKO) and those that lack the entire Bcl-2 family (Bcl-2 allKO). Although the OctaKO cells were resistant to most apoptotic stimuli tested, they underwent Bax/Bak-dependent and p53/Rb-independent apoptosis efficiently when both Bcl-xL and Mcl-1, two anti-apoptotic Bcl-2 proteins, were inactivated or eliminated. Strikingly, when expressed in the Bcl-2 allKO cells, both Bax and Bak spontaneously associated with the outer mitochondrial membrane (OMM) through their respective helix 9, and this association triggered their homo-oligomerization/activation. Together, these results strongly suggest that the OMM, not BH3-only proteins or p53/Rb, is the long-sought-after direct activator of Bax/Bak following BH3-only-mediated neutralization of anti-apoptotic Bcl-2 proteins.
Insights
The outer mitochondrial membrane (OMM) directly activates Bax and Bak during apoptosis, independent of BH3-only proteins or p53/Rb. This finding clarifies a central question in programmed cell death signaling.
Area of Science:
- Cell Biology
- Molecular Biology
- Biochemistry
Background:
- Mitochondria-dependent apoptosis involves proapoptotic BH3-only proteins neutralizing anti-apoptotic Bcl-2 proteins.
- The precise mechanism by which Bax/Bak activation occurs after this neutralization is debated.
Purpose of the Study:
- To investigate the direct activator of Bax and Bak in mitochondria-dependent apoptosis.
- To elucidate the role of BH3-only proteins, p53/Rb, and the outer mitochondrial membrane in Bax/Bak activation.
Main Methods:
- Utilized genome editing to create cells lacking all proapoptotic BH3-only proteins (OctaKO) and the entire Bcl-2 family (Bcl-2 allKO).
- Assessed apoptosis induction and Bax/Bak localization and activation in engineered cell lines under various conditions.
Main Results:
- OctaKO cells underwent Bax/Bak-dependent apoptosis when anti-apoptotic proteins Bcl-xL and Mcl-1 were absent.
- In Bcl-2 allKO cells, Bax and Bak spontaneously associated with the outer mitochondrial membrane (OMM) via helix 9, leading to homo-oligomerization and activation.
- This activation was independent of p53/Rb.
Conclusions:
- The outer mitochondrial membrane (OMM) acts as the direct activator of Bax and Bak.
- Bax/Bak activation is triggered by the OMM following the neutralization of anti-apoptotic Bcl-2 proteins by BH3-only proteins.
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