antiapoptotic proteins and allowing, indirectly, multidomain proapoptotic
Bax and Bak proteins to release apoptogenic factors from the mitochon-
dria; (2) others, besides the previously described function, are also respon-
sible for the direct activation of the multidomain proteins, as is the case for
Bid (Desagher et al., 1999; Eskes et al., 2000) and probably Bim (Letai
et al., 2002). At least two events seem to be critical for Bax and Bak to
release apoptogenic factors into the cytoplasm homodimerization and
insertion into the outer mitochondrial membrane (Bouillet and Strasser,
2002).
It is not clear whether each member of this subgroup is activated by a
particular stimulus and through a specific mechanism, or whether their
roles are redundant. Nevertheless, it is possible that different BH3-only
domain proteins, or their combinations, are critical for apoptosis in differ-
ent cell types.
Tridimensional structure analysis of some Bcl-2 family members, such
as Bcl-X
L
, Bcl-w, Bax, and Bid, surprisingly revealed that pro- and anti-
apoptotic proteins share common structures (Kuwana and Newmeyer,
2003). The BH3 domain is buried inside the molecule, and it has been
suggested that it is essential for activity of the proapoptotic members and
has to be exposed to render the protein active. Therefore, in a healthy cell,
proapoptotic members are inactive, with the BH3 domain hidden inside
the molecule. However, by receiving apoptotic signals, they undergo a
conformational change, exposing this domain and, thus, acquiring pro-
apoptotic activity.
In some molecules, such as Bid, Bax, Bak, Bmf, and Bim, the N-terminal
region acts as an inhibitory domain, hiding the BH3 domain (Gross et al.,
1999). Bid must be cleaved by caspase 8, and its truncated form (without
the N-terminal) translocates to the mitochondria to interact with Bax and/
or Bak, activating them (Li et al., 1998; Desagher et al., 1999). Prior to the
apoptotic signal, Bmf and Bim are found associated with cytoskeleton
complexes by the N-terminal region. In the presence of these signals, they
dissociate from these complexes and translocate to the mitochondria to
bind Bcl-2 and Bcl-X
L
, antagonizing their antiapoptotic activity (Puthala-
kath et al., 1999, 2001). Bax and Bak require the interaction with some
BH3-only proteins to derepress their N-terminal domain, exposing not
only their BH3-only domain, but also a C-terminal hydrophobic domain,
which allows them to become integral proteins in the outer mitochondrial
membrane and induce the release of apoptogenic factors (Goping et al.,
1998; Desagher et al., 1999). Bad is phosphorylated at two serine residues
(Ser-112 and Ser-136), which allows it to be sequestered by the cytosolic
protein 14-3-3, keeping it inactivated (Zha et al., 1996). In the presence of
apoptotic signals, Bad is dephosphorylated, resulting in its dissociation
from the 14-3-3 protein and its translocation to the outer mitochondrial
membrane to bind to Bcl-2 and Bcl-X
L
(Kelekar et al., 1997; Ottilie et al.,
1997). It is suggested that Bad phosphorylation regulates the BH3 domain
exposure (Zha et al., 1997). Antiapoptotic proteins can also be converted
to proapoptotic if they expose their BH3 domains (Cheng et al., 1997).
However, not all proapoptotic members are regulated post-translation-
ally. Some, such as Noxa, Puma, and HRK, are regulated transcriptionally.
Noxa and Puma are regulated by the p53 protein and, therefore, are critical
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