Molecular and Biological Aspects of Apoptosis - Extrinsic pathway: role of death receptors

13 important questions on Molecular and Biological Aspects of Apoptosis - Extrinsic pathway: role of death receptors

What are the three types of death receptors?

  1. CD95/Fas receptor
  2. DR4 and DR5 receptors
  3. TNF receptor

Why is the CD95/Fas receptor essential for the removal of cells that threaten homeostasis?

Immune cells:
  • Autoreactive T cells with the potential to attack ''self'' are removed by apoptosis
  • At the termination of an immune response when they are no longer needed
  • Inflammatory cells in immune-privileged tissues (brain, eyes, testis)
  • Inflammatory cells in a tumor


Other cells: virus infected cells

Multistep Fas activation

Fas ligands are expressed by effector cells. They recognize target cells through their Fas receptors, only when they are trimerized. Labile protein inhibitors can bind to the intracellular tail of Fas receptor to prevent it from trimerizing.
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Three types of cells killed by the Fas-FasL system

  1. Virus infected cells: cytotoxic T cells recognize MHC complex with viral antigen, inducing apoptosis via FasL.
  2. End of immune response: T-lymphocytes express both FasL and Fas. APC activates the receptors through MHC/antigen with T cell receptor.
  3. Removal of inflammatory cells: immune-privileged cells express FasL to kill cytotoxic T cell via Fas receptor.

Ways of Fas-mediated immune escape by tumors

  • FasL-expressing tumors can induce T cell apoptosis.
  • Cancer cells can be resistant to Fas-mediated apoptosis
  • Cancer progression is associated with increased FasL expression

DR4, DR5 and its modulation by decoy receptors

Function of decoy receptors is unkown, but it is possible they bind the ligand to prevent it binding to the actual death receptor since the decoy receptors don't have a death domain.

Apoptosis signaling by DR4 and DR5 (TRIAL-R1/R2)

  1. Death Inducing Signaling Complex (DISC), which consists of FADD, RIP, pro-caspase-8
  2. Induction of apoptosis via caspase-8 directly to caspase-3, or by caspase-8 recruiting BID
  3. Mitochondrial signaling via Bax/Bak, releasing cytochrome C to form apoptosome with caspase-9 inducing caspase-3
  4. Inhibition of apoptosis by XIAP, which can inhibit caspase-3 and caspase-9

Tumor necrosis factor (TNF) signaling pathway

  1. TNFa ligands binds to receptor to activate it
  2. TRADD binds and activates kinase
  3. Kinase can activate NF-kB (transcription factor)
  4. If activated, it travels to the nucleus and transcribes inflammation factors and anti-apoptosis proteins.

Mechanism of NF-kB action

  1. Stimulation. Of TNFR1 leads to the binding of TRADD, recruiting FADD and TRAF2
  2. TRAF2 associates with RIP1 for IKK activation, which in turn phosphorylates the IkBa protein resulting in ubiquitination and dissociation from NF-kB
  3. NF-kB translocates to the nucleus where it binds to response elements in the DNA.

What does prolonged activation of TNF lead to?

Apoptosis or necrosis. It leads to the formation of DISC containing FADD, which can recruit caspase-8 resulting in a cascade recruiting caspase-3, inducing apoptosis or necrosis.

RIP1 is part of which complexes?

  1. Complex I: activation of kinases, followed by activation of NF-kB
  2. Complex II: involved in apoptosis
  3. Necrosome: interaction with RIP3 to induce necrosis

How does RIPK3 induce necroptosis?

Stimuli can activate RIPK3, leading to oligomerisation and downstream phosphorylation of MLKL. Upon phosphorylation, MLKL oligomerises and translocates to the plasma membrane to cause lysis.

Role of ubiquitin in the TNF pathway

  • RIP1 is polyubiquitinated by cIAPs, leading to the recruitment of TAK1 and IKK complexes
  • IkBa is ubiquitinated, leading to NF-kB activation
  • Deubiquitinated-RIP1 dissociates from TNF receptor forming complex II

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