Apoptotic cell death is characterized by cell shrinkage, chromatin con
densation and fragmentation, formation of apoptotic bodies and phagocy
tosis (Kerr el nl., 1972). At the molecular level, activation of a fam
ily of cysteine proteases, caspases, related to interleukin-1 beta-con
verting enzyme is believed to be a crucial event in apoptosis. This is
associated with the proteolysis of nuclear and cytoskeletal proteins,
cell shrinkage, glutathione efflux, exposure of phosphalidylserine on
the cell surface, membrane blebbing, etc. In CD95- or TNF-mediated ap
optosis, the proteolytic cascade is believed to be triggered directly
by caspase binding to the activated plasma membrane receptor complex.
In other forms of apoptosis, the mechanisms of activation of the prote
olytic cascade are less well established but may involve imported prot
eases, such as granzyme B, or factors released from the mitochondria a
nd, possibly, other organelles. Recently, the possibility that cytochr
ome c released from the mitochondria may serve to activate dormant cas
pases in the cytosol, and thereby to propagate the apoptotic process,
has attracted considerable attention. A perturbation of intracellular
Ca2+ homeostasis has been found to trigger apoptosis in many experimen
tal systems, and the apoptotic process has been related to either a su
stained increase in cytosolic free Ca2+ level or a depletion of intrac
ellular Ca2+ stores. Although many of the biochemical events involved
in the apoptotic process are Ca2+ dependent, the exact mechanism by wh
ich Ca2+ triggers apoptosis remains unknown. The bcl-2 gene family, wh
ich includes both inhibitors and inducers of apoptosis, appears to reg
ulate intracellular Ca2+ compartmentalization. The induction of apopto
sis by Ca2+ -mobilizing agents results in caspase activation, which is
similar to what is seen with other inducers of apoptosis. In addition
, Ca2+-dependent proteases, such as calpain and a Ca2+-dependent nucle
ar scaffold-associated serine protease, are also activated by Ca2+ sig
nalling in some cell types where they appear to be involved in alpha-f
odrin and lamin beta cleavage, respectively. Thus, a spectrum of prote
ases are activated during apoptosis depending on both cell type and in
ducer. This proteolytic cascade can involve both caspases and Ca2+-dep
endent proteases, which seem to interact during the apoptotic process.
(C) 1998 Elsevier Science Ltd. All rights reserved.