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Review
. 2022 Jun 14;14(6):a041046.
doi: 10.1101/cshperspect.a041046.

The Mitochondrial Pathway of Apoptosis Part II: The BCL-2 Protein Family

Affiliations
Review

The Mitochondrial Pathway of Apoptosis Part II: The BCL-2 Protein Family

Douglas R Green. Cold Spring Harb Perspect Biol. .
No abstract available

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Figures

Figure 1.
Figure 1.
BH domain organization of selected members of the BCL-2 family. TM, transmembrane domain (although in some cases, this is sequestered by the BH groove).
Figure 2.
Figure 2.
BAX moves from the cytosol to the mitochondrial outer membrane during apoptosis. A cell engineered to express both BAX linked to green fluorescent protein (BAX–GFP) and a red fluorescent protein (RFP) that localizes to mitochondria was induced to undergo apoptosis. BAX (green) moves onto the mitochondria (red), revealed as the development of a yellow signal (i.e., merging of red and green emissions) over time. The first image was taken several hours after the initial stress. (Courtesy of Dr. Stephen Tait, University of Glasgow, Scotland, United Kingdom).
Figure 3.
Figure 3.
Proteinaceous versus lipidic pores. In a proteinaceous pore, the pore-forming protein “coats” the pore, penetrating the membrane. In a lipidic pore, the protein causes changes in the membrane lipids to produce the opening. Although some models propose a proteinaceous pore comprising the effector proteins (BAX, BAK, or BOK) for MOMP, most evidence supports the idea that these proteins induce the formation of lipidic pores to effect MOMP.
Figure 4.
Figure 4.
Structure of BCL-xL, a globular protein with eight α-helices (numbered 1–8, top). The four BCL-2 homology (BH) regions, BH1–BH4, are also shown. The structure on the bottom shows the groove formed by BH1, BH2, and BH3, bound to a BH3 peptide from BAK (pale blue). (Top, PDB 1MAZ [Muchmore et al. 1996]; bottom, PDB 1BXL [Sattler et al. 1997].)
Figure 5.
Figure 5.
Effector BCL-2 family members BAX and BAK. The BCL-2 homology (BH) regions BH1, BH2, and BH3 are shown, as is the carboxy-terminal tail of BAX (gold). (Left, PDB 1F16 [Suzuki et al. 2000]; right, PDB 2IMS [Moldoveanu et al. 2006].)
Figure 6.
Figure 6.
BAK activation and inhibition. When BAK is activated, it exposes its BH3 region and appears to create a BH groove. This allows BAK–BAK oligomerization (upper) or binding of anti-apoptotic BCL-2 proteins that block oligomerization (lower).
Figure 7.
Figure 7.
BAX/BAK specificity of anti-apoptotic BCL-2 proteins. The binding differences are relative, not absolute.
Figure 8.
Figure 8.
The simple rheostat model. An increase in BAX or BAK causes apoptosis, whereas an increase in BCL2, BCL-xL, or MCL-1 results in survival. Problems with this simple model include the specificities of anti-apoptotic proteins for binding to the pro-apoptotic effectors.
Figure 9.
Figure 9.
(Left) BH3 regions of several human BH3-only proteins. BH3 regions of BAX, BAK, and BOK are shown for comparison. Note the conserved leucine (L) and aspartate (D) residues (*). Hydrophobic residues (h0–h4) are often (but not always) present where indicated. (Right) The binding of the BH3 region of BIM to MCL-1. The hydrophobic residues and the conserved aspartate interact with the BH groove of MCL-1.
Figure 10.
Figure 10.
Specificities of some BH3-only proteins for binding to anti-apoptotic BCL-2 proteins Bcl-2, BCL-xL, and MCL-1.
Figure 11.
Figure 11.
(A) Structure of activated BAX. Following activation, the “latch” of the protein (α6–α8) moves away from the core (α2–α5), ultimately straightening α5–α6, and (B) exposed hydrophobic residues in the protein presumably interact with the lipids of the outer mitochondrial membrane. Similar events occur during activation of BAK.
Figure 12.
Figure 12.
Activated BAX forms dimers by mutual BH3–groove interactions. The structure of the dimer formed by two BAX α2–α5 proteins (blue and green, respectively) showing the symmetrical binding of the BH3 from one in the groove of the other.
Figure 13.
Figure 13.
The BIM BH3 region binds to BAX and induces conformational changes. Two views are shown. A BIM BH3 peptide (yellow) binds to the “back” face of BAX (brown), opposite the BH groove, where it displaces a loop to cause several subtle rearrangements in BAX. Illustrated are regions of the free (green) and BIM-bound (blue) BAX that undergo conformational changes. (PDB 1F16 [Suzuki et al. 2000]; overlay, PDB 2K7W [Gavathiotis et al. 2008].)
Figure 14.
Figure 14.
Order of events for BAX activation and MOMP. (1) Active BID binds very rapidly to the mitochondrial outer membrane, and then (2) BID binds to the back of BAX, whereupon (3) BAX inserts its α-helix 9 (α9) into the membrane. Then (4) BID binds to the BH groove of BAX, “unlatching” BAX and exposing its BH3, and finally (5) BAX oligomerizes by binding to additional, active BAX molecules, inducing MOMP.
Figure 15.
Figure 15.
Neutralization model for BH3-only function. BH3-only proteins such as BAD bind to anti-apoptotic BCL-2 proteins (e.g., BCL-xL) to prevent or disrupt the binding of the latter to active BAX or BAK, and MOMP ensues.
Figure 16.
Figure 16.
Direct activator/derepressor model of BH3-only function. Derepressor BH3-only proteins, such as BAD, bind to anti-apoptotic BCL-2 proteins, preventing or disrupting the binding of the latter to direct activators of BAX and BAK (such as BIM). BAX and BAK are then activated, and MOMP ensues.
Figure 17.
Figure 17.
Two modes of action of anti-apoptotic BCL-2 proteins. Anti-apoptotic BCL-2 proteins can prevent apoptosis either by binding to BH3-only direct activator proteins (MODE 1) or by binding to active BAX or BAK (MODE 2). Additional BH3-only protein interactions can neutralize the function of the anti-apoptotic BCL-2 protein, allowing apoptosis to proceed. MODE 1 is more readily derepressed than MODE 2 (i.e., MODE 2 is functionally more stable).
Figure 18.
Figure 18.
Regulation of BOK. BOK is not regulated by other BCL-2 proteins, but is controlled by endoplasmic reticulum–associated degradation (ERAD), which induces degradation of BOK. Disruption of ERAD or the degradation machinery allows BOK to accumulate and oligomerize on the outer mitochondrial membrane to cause mitochondrial outer membrane permeabilization (MOMP).
Figure 19.
Figure 19.
Structure of BID, a structured BH3-only protein with one of the most divergent BCL-2 cores. The BH3 region (red) is next to a protease-susceptible loop, the digestion of which is required for activation. (PDB 2BID [Chou et al. 1999].)
Figure 20.
Figure 20.
The pathway for cleavage and activation of BID.
Figure 21.
Figure 21.
Growth factor signaling controls BIM expression through the sequestration of FOX3a, a transcription factor required for transcriptional activation of the promoter for the gene encoding BIM.
Figure 22.
Figure 22.
Growth factor signaling controls BAD function through the sequestration of BAD.
Figure 23.
Figure 23.
The pathway of anoikis allowing detached cells to be eliminated.
Figure 24.
Figure 24.
Growth factor receptor signaling regulates the stability of MCL-1, either preventing or enhancing mitochondrial outer membrane permeabilization (MOMP), according to the presence (left) or absence (right) of growth factors.
Figure 25.
Figure 25.
CED9 is a BCL-2 protein. The BH1–BH4 domains of CED9 and BCL2 are shown for comparison. Structural studies confirm that CED9 and BCL-2 are similar.
Figure 26.
Figure 26.
EGL1 functions to release CED4 from CED9.
Figure 27.
Figure 27.
The action of participants in apoptotic signaling in nematodes.
Figure 28.
Figure 28.
Viral BCL-2 proteins. All are from human viruses except where indicated. Some of the BH regions are based on structural considerations despite low amino acid homology. (Reprinted from Hardwick et al. 2009, ©2009 with permission from Elsevier.)
Figure 29.
Figure 29.
Structures of mammalian BCL-xL and Kaposi sarcoma virus vBCL-2 showing the arrangement of the BH1–BH4 regions. (Left, PDB 1MAZ [Muchmore et al. 1996]; right, PDB 1K3K [Huang et al. 2002].)
Figure 30.
Figure 30.
Structures of several pore-forming regions of bacterial toxins, compared with that of BAX. Several α-helical pore-forming toxins have a globular domain reminiscent of the BCL-2 core of BAX. The structures are colored blue to red from the amino to the carboxyl terminus, and the putative pore-forming helices are identified by their side-chain sticks. (Top left, PDB1MAZ [Muchmore et al.1996]; top right, PDB 1F0L [Choe et al. 1992]; lower left, PDB 1CII [Winer et al. 1997]; lower right, PDB 2C9K [Boonserm et al. 2006].)
Figure 31.
Figure 31.
Mitochondria in NIX-deficient red blood cells. In developing wild-type red blood cells, mitochondria are removed by mitophagy (left), and these organelles are not present in the mature cells. In NIX-deficient mature red cells, mitochondria persist, many showing signs of damage (right). (Image courtesy of Paul A. Ney, MD, St. Jude Children's Research Hospital, Memphis, Tennessee.)
Figure 32.
Figure 32.
Hypoxia leads to stabilization of hypoxia-induced factor HIF and removal of mitochondria by autophagy.
Figure 33.
Figure 33.
Beclin-1 BH3 region bound to BCL-xL. The BH regions of BCL-xL are colored as in Figure 4, and the BH3 peptide is pale blue. (PDB2P1L [Oberstein et al. 2007].)

References

    1. Green DR. 2022. a. Cell death and cancer. Cold Spring Harb Perspect Biol 10.1101/cshperspect.a041103 - DOI
    1. Green DR. 2022. b. Cell death in development. Cold Spring Harb Perspect Biol 10.1101/cshperspect.a041095 - DOI - PMC - PubMed
    1. Green DR. 2022. c. The burial: clearance and consequences. Cold Spring Harb Perspect Biol 10.1101/cshperspect.a041087 - DOI - PMC - PubMed
    1. Green DR. 2022. d. The mitochondrial pathway of apoptosis, Part 1: MOMP and beyond. Cold Spring Harb Perspect Biol 10.1101/cshperspect.a041038 - DOI - PMC - PubMed
    1. Green DR. 2021. e. Nonapoptotic cell death pathways. Cold Spring Harb Perspect Biol 10.1101/cshperspect.a041079 - DOI - PMC - PubMed

FIGURE CREDITS

    1. Boonserm P, Mo M, Angsuthanasombat C, Lescar J. 2006. Structure of the functional form of the mosquito larvicidal Cry4Aa toxin from Bacillus thuringensis at a 2.8-angstrom resolution. J Bacteriol 188: 3391–3401. 10.1128/JB.111.9.3391-3401.2006 - DOI - PMC - PubMed
    1. Choe S, Bennett M, Fujii G, Curmi PM, Kantardjieff KA, Collier RJ, Eisenberg D. 1992. The crystal structure of diphtheria toxin. Nature 357: 216–222. 10.1038/357216a0 - DOI - PubMed
    1. Chou JJ, Li H, Salvesen GS, Yuan J, Wagner G. 1999. Solution structure of BID, an intracellular amplifier of apoptotic signaling. Cell 96: 615–624. 10.1016/S0092-8674(00)80572-3 - DOI - PubMed
    1. Gavathiotis E, Suzuki M, Davis ML, Pitter K, Bird GH, Katz SG, Tu HC, Kim H, Cheng EH, Tjandra N, et al. 2008. BAX inactivation is initiated at a novel interaction site. Nature 455: 1076–1081. 10.138/nature07396 - DOI - PMC - PubMed
    1. Hardwick JM, Youle RJ. 2009. SnapShot: BCL-2 proteins. Cell 138: 404. 10.1016/j.cell.2009.07.003 - DOI - PMC - PubMed

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