Apoptosis is an evolutionarily conserved form of physiologic cell deat
h important for tissue development and homeostasis. The causes and exe
cution mechanisms of apoptosis are not completely understood. Nitric o
xide (NO) and its congeners, oxidative stress, Ca2+, proteases, nuclea
ses, and mitochondria are considered mediators of apoptosis. Recent fi
ndings strongly suggest that mitochondria contain a factor or factors
that. upon release from the destabilized organelles, induce apoptosis.
We have found that oxidative stress-induced release of Ca2+ from mito
chondria followed by Ca2+ reuptake (Ca2+ cycling) causes destabilizati
on of mitochondria and apoptosis. The protein product of the protoonco
gene bcl-2 protects mitochondria and thereby prevents apoptosis. We ha
ve also found that NO and its congeners can induce Ca2+ release from m
itochondria. Thus, nitrogen monoxide ((NO)-N-.) binds to cytochrome ox
idase, blocks respiration, and thereby causes mitochondrial deenergiza
tion and Ca2+ release. Peroxynitrite (ONOO-), on the other hand, cause
s Ca2+ release from mitochondria by stimulating a specific Ca2+ releas
e pathway. This pathway requires oxidized nicotinamide adenine dinucle
otide (NAD(+)) hydrolysis to adenosine diphosphate ribose and nicotina
mide. NAD(+) hydrolysis is only possible when some vicinal thiols are
cross-linked. ONOO- is able to oxidize them. Our findings suggest that
NO and its congeners can induce apoptosis by destabilizing mitochondr
ia via deenergization and/or by inducing a specific Ca2+ release follo
wed by Ca2+ cycling.