Apoptosis is genetically regulated programmed cell death. Extrinsic (death receptor–DISC–caspase-8) and intrinsic (mitochondrial MOMP–cytochrome c–apoptosome–caspase-9) pathways converge on effector caspases (e.g., caspase-3/7) to cleave substrates and dismantle the cell. It is central to development, immunity, and cancer therapy response or resistance.
Pro-apoptotic (BAX, BAK, BH3-only BIM/PUMA/BID) vs anti-apoptotic (BCL-2, BCL-XL, MCL1) proteins set the MOMP threshold.
Initiator caspases-8/9 activate effectors-3/7; cleaved caspase and PARP are common readouts.
Fas, TRAIL-Rs (DR4/DR5), TNFR1 recruit FADD to form DISCs; XIAP and cIAPs modulate caspase activity.
HGNC symbols grouped by BCL-2 family, caspases, death receptors, apoptosome, and IAP/p53 modules.
Pair early (membrane asymmetry loss) vs late (DNA fragmentation) readouts; distinguish from necroptosis, pyroptosis, and ferroptosis.
| Feature | Extrinsic | Intrinsic |
|---|---|---|
| Trigger | Death-ligands (FasL, TRAIL, TNF, etc.) | DNA damage, growth-factor withdrawal, ER stress, oncogenic stress |
| Key complex | DISC | Apoptosome (Apaf-1 + Cyt c + caspase-9) |
| BCL-2 family | Often couples to MOMP in type II cells (Bid/tBid) | BH3 competition and BAX/BAK oligomerization drive MOMP |
BAX, BAK, BCL-2, BCL-XL, MCL1, caspase-3/8/9 (including cleaved), PARP, cytochrome c, XIAP, FADD, DR4/DR5, p53—WB/IHC/IF/FC as applicable.
Recombinant TRAIL / FasL for extrinsic stimulation (per datasheet and ethics); pan-caspase inhibitors as negative controls.
For research use; follow lab SOP, compound datasheets, and ethics approvals.
Pan-caspase inhibitor; validates caspase dependence.
Cell-permeable pan-caspase inhibitor with favorable potency.
Selective BCL-2 inhibitor; hallmark probe in hematologic models.
Multi-target BCL-2/BCL-XL/BCL-W; watch platelet toxicity.
BH3 mimetic tool; often discussed with MCL1 co-targeting.
Promote cIAP degradation or antagonize XIAP; common in combination studies.
Apoptosis removes damaged cells, shapes immune tolerance, and participates in tumor surveillance; solid tumors often evade via upstream rewiring, anti-apoptotic upregulation, or caspase antagonism—interpret alongside autophagy and necroptosis.
Mechanisms & BCL-2 family
Death receptors & caspases