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Programmed cell death

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Programmed cell death (PCD) is a controlled biological process where a cell undergoes death due to internal events. This is not a random accident, but a genetically directed sequence of steps. PCD is vital for the growth and survival of multicellular organisms. It allows an organism to shape its body during development and maintain health by removing unnecessary or damaged cells. Without this mechanism, life as we know it could not organize itself correctly.

Dying cells in the proliferative zone
Dying cells in the proliferative zone

One primary form of PCD is apoptosis, often called Type I cell death. During apoptosis, a cell undergoes specific physical changes, known as morphology. These changes include cell shrinkage, the condensation of chromatin, and the fragmentation of the nucleus. The cell membrane may also undergo blebbing, which looks like small bubbles forming on the surface. These steps ensure the cell is dismantled in an orderly way. This process is essential for preventing cellular overgrowth, which can lead to diseases like cancer.

Apoptosis can be triggered through two distinct routes: the extrinsic and the intrinsic pathways. The extrinsic pathway begins when external signals bind to specific receptors on the cell membrane. For example, the FAS ligand can bind to the FAS receptor, or the TNF-alpha ligand can bind to the TNF receptor. This interaction activates initiator caspases, which are specialized enzymes that act as molecular switches. In some cases, a cytotoxic T-cell attaches to a target cell and releases granzyme B. This protein creates pores in the membrane, allowing perforin to enter and trigger the caspase cascade.

Signal transduction pathways
Signal transduction pathways

The intrinsic pathway, by contrast, is triggered by internal damage, such as DNA damage or exposure to UV radiation. This process occurs within the mitochondria, which are the energy-producing organelles of the cell. Sensors called Bcl sensors, along with proteins named BAX and BAK, detect the damage. These proteins pierce the outer mitochondrial membrane to form pores. These pores allow cytochrome c to leak out into the cell. Once cytochrome c is released, it helps form an apoptosome complex. This complex activates executioner caspases that carry out the cell's destruction.

DNA damage can lead to apoptosis or cancer
DNA damage can lead to apoptosis or cancer

Another major form of PCD is autophagy, or Type II cell death. This is a catabolic process, meaning the cell breaks down its own components. During autophagy, the cell creates large vacuoles that consume damaged organelles and abnormal protein aggregates. This process is often activated by nutrient deprivation to help the cell survive. A key regulator of this process is a kinase called mTOR. When mTOR is active, it suppresses autophagy; when it is inactive, autophagy is promoted. This mechanism helps maintain cellular balance, though excessive autophagy can eventually lead to cell death.

A conserved apoptotic pathway in nematodes, mammals and fruitflies
A conserved apoptotic pathway in nematodes, mammals and fruitflies

Research into PCD has uncovered many other specialized types of death. Necroptosis is a form of programmed necrosis, which acts as a backup when apoptosis signals are blocked by viruses or mutations. Other types include ferroptosis, which depends on iron, and pyroptosis, an inflammatory death triggered by infections. In the nervous system, PCD plays a massive role in sculpting the brain. In humans, nearly 50% of developing neurons are removed through PCD to optimize connections. This process begins in progenitor cells at gestational week 7 and continues in post-mitotic cells between weeks 19 and 23.

Programmed cell death in the peripheral and central nervous system
Programmed cell death in the peripheral and central nervous system

The history of this field is marked by significant scientific breakthroughs. The term "programmed cell death" was used as early as 1964 to describe insect tissue development. Later, scientists like Durand and Ramsey provided clearer evolutionary and mechanistic definitions. A major turning point involved studying the BCL2 protein. While most cancer-related genes promote cell growth, BCL2 can cause cancer by preventing cells from undergoing apoptosis. This discovery helped explain how certain lymphomas develop. In 2002, Sydney Brenner, H. Robert Horvitz, and John E. Sulston were awarded the Nobel Prize in Physiology or Medicine for their fundamental work on these mechanisms.

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File:Signal transduction pathways.svg
Signal transduction pathways.svg
File:Dying cells in the proliferative zone.jpg
Dying cells in the proliferative zone.jpg
File:Programmed cell death in the peripheral and central nervous system.jpg
Programmed cell death in the peripheral...
File:A conserved apoptotic pathway in nematodes, mammals and fruitflies.jpg
A conserved apoptotic pathway in...
File:DNA damage can lead to apoptosis or cancer.jpg
DNA damage can lead to apoptosis or cancer.jpg
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