By Fatskills Exam Guides Team — the exam nerds behind 28,500+ quizzes and 2.1M practice questions across 500+ global exams.
Q: What is apoptosis? A: A genetically regulated, energy-dependent process of controlled cell suicide to eliminate damaged or unnecessary cells without inflammation. Trap/Clarification: Apoptosis-necrosis (necrosis is unregulated, causes inflammation, and results from acute injury).
Q: What are caspases? A: Proteolytic enzymes that cleave target proteins at aspartate residues, driving the execution phase of apoptosis. Trap/Clarification: Caspases are not active in healthy cells; they are synthesized as inactive procaspases and require cleavage for activation.
Q: Why is apoptosis important during development? A: It sculpts tissues (e.g., removing webbing between digits) and eliminates excess neurons to refine neural circuits. Trap/Clarification: Apoptosis is not random; it’s spatially/temporally precise (e.g., tadpole tail resorption during metamorphosis).
Q: Why does the intrinsic pathway rely on mitochondria? A: Mitochondria release cytochrome c in response to stress (e.g., DNA damage), which binds Apaf-1 to form the apoptosome and activate caspase-9. Trap/Clarification: Cytochrome c’s role in apoptosis is distinct from its function in the electron transport chain.
Q: How is the extrinsic pathway activated? A: Death ligands (e.g., FasL) bind to death receptors (e.g., Fas), recruiting adaptor proteins (e.g., FADD) to form the DISC (Death-Inducing Signaling Complex), which activates caspase-8. Trap/Clarification: Caspase-8 directly activates executioner caspases (e.g., caspase-3) in the extrinsic pathway, unlike the intrinsic pathway’s apoptosome intermediate.
Q: How does blebbing occur? A: Caspases cleave cytoskeletal proteins (e.g., actin, lamin), causing membrane instability and bleb formation; blebs are then phagocytosed by macrophages. Trap/Clarification: Blebs are not passive swelling (like in necrosis); they’re actively formed and contain fragmented DNA/proteins.
Q: Can apoptosis be inhibited? A: Yes, by anti-apoptotic proteins (e.g., Bcl-2, IAPs) or survival signals (e.g., growth factors), which block cytochrome c release or caspase activation. Trap/Clarification: Overexpression of Bcl-2 (e.g., in cancer) prevents apoptosis, leading to tumor survival.
Q: Under what conditions does apoptosis fail? A: When pro-apoptotic signals (e.g., p53 activation) are suppressed (e.g., p53 mutations) or executioner caspases are inhibited (e.g., by viral proteins like CrmA). Trap/Clarification: Failed apoptosis does not always cause cancer (e.g., autoimmune diseases result from excessive lymphocyte survival).
Statement: The extrinsic pathway requires mitochondrial involvement to activate caspases. Answer: FALSE Why the common mistake happens: Confusion with the intrinsic pathway’s reliance on cytochrome c release.
Statement: Caspase-3 is an initiator caspase. Answer: FALSE Why the common mistake happens: Caspase-3 is an executioner caspase; initiators are -8 (extrinsic) and -9 (intrinsic).
Statement: Apoptosis can be triggered by viral infection. Answer: TRUE Why the common mistake happens: Overlooking immune-mediated apoptosis (e.g., cytotoxic T cells using FasL to kill infected cells).
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