Mitochondria—Judges and Executioners of Cell Death Sentences
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Apoptosis is a form of programmed cell death that is critical for basic human development and physiology. One of the more important surprises in cell biology in the last two decades is the extent to which mitochondria represent a physical point of convergence for many apoptosis-inducing signals in mammalian cells. Mitochondria not only adjudicate the decision of whether or not to commit to cell death, but also release toxic proteins culminating in widespread proteolysis, nucleolysis, and cell engulfment. Interactions among BCL-2 family proteins at the mitochondrial outer membrane control the release of these toxic proteins and, by extension, control cellular commitment to apoptosis. This pathway is particularly relevant to cancer treatment, as most cancer chemotherapies trigger mitochondrial-mediated apoptosis. In this Review, we discuss recent advances in the BCL-2 family interactions, their control by upstream factors, and how the mitochondria itself alters these interactions. We also highlight recent clinical insights into mitochondrial-mediated apoptosis and novel cancer therapies that exploit this pathway.
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Different BH3-only proteins preferentially bind specific anti-apoptotic BCL2 family members (e.g., BID, BIM, and PUMA potently bind all anti-apoptotic BCL2 family members; BAD preferentially interacts with BCL2, BCL-XL, and BCL-W; NOXA preferentially inhibits MCL1; and HRK preferentially inhibits BCL-XL).
“Different BH3-only proteins have been suggested to preferentially bind specific anti-apoptotic BCL2 family members (e.g., BID, BIM, and PUMA potently bind all anti-apoptotic BCL2 family members; BAD preferentially interacts with BCL2, BCL-XL, and BCL-W; NOXA preferentially inhibits MCL1; and HRK preferentially inhibits BCL-XL) [57, 113, 114].”
From Molecular mechanisms of cell death: recommendations of the nomenclature committee on cell death 2018. (2018) · cites this paper as [114]
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The multidomain proapoptotic molecules Bax and Bak are directly activated by heat
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Oxidative Modification of miR-184 Enables It to Target Bcl-xL and Bcl-w
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BH3 Domains other than Bim and Bid Can Directly Activate Bax/Bak
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Evaluation and critical assessment of putative MCL-1 inhibitors
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Pin1-Induced Proline Isomerization in Cytosolic p53 Mediates BAX Activation and Apoptosis
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Distinct lipid effects on tBid and Bim activation of membrane permeabilization by pro-apoptotic Bax
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- Authors
- Bhola, P. D., & Letai, A.
- Affiliations
- Harvard University (US)
- Corresponding author
- Letai, Anthony
- Venue
- Molecular Cell
- Publisher
- Elsevier BV
- Published
- 2016-03
- Volume
- 61
- Issue
- 5
- Pages
- 695-704
- ISSN
- 1097-2765 (ISSN-L)
- PMC
- PMC4806554
- OpenAlex
- W2289284908
- Cited by
- 326
- References
- 140
- Citations by year
- 2026: 9 · 2025: 12 · 2024: 17 · 2023: 38 · 2022: 21 · 2021: 36 · 2020: 42 · 2019: 50 · 2018: 46 · 2017: 30 · 2016: 24
- FWCI
- 4.52
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Molecular Cell (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Cancer Institute (R21CA188858, P01CA066996)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Cell death mechanisms and regulation
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Mitochondrial Function and Pathology
- Health Sciences › Medicine › Epidemiology › Autophagy in Disease and Therapy
- Keywords
- apoptosis, mitochondria, Bcl-2 family proteins, mitochondrial outer membrane, programmed cell death, cancer chemotherapy, cancer therapy
- MeSH terms
- Mitochondrial Permeability Transition Pore, Animals, Antineoplastic Agents, Humans, Mitochondria, Neoplasms, Permeability, Protein Binding, Signal Transduction, Apoptosis, Proto-Oncogene Proteins c-bcl-2, Mitochondrial Membrane Transport Proteins, Apoptosis Regulatory Proteins, Mitochondrial Membranes, Protein Interaction Domains and Motifs, Molecular Targeted Therapy
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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