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Caspase-independent_cell_deaths.1

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A very common and the best understood of the mechanisms of physiological cell death is apoptosis, resulting from the activation, through either of two primary pathways, of

site-specific proteases called caspases. There are, however, many other routes to cell death, prominently including autophagy and proteasomal degradation of critical constituents of cells. These routes are frequently seen in experimental situations in which initiator or effector caspases are inhibited or blocked through genetic means, but they are also encountered during normal physiological and pathological processes. Most frequently, autophagic or proteasomal degradation is used to eliminate massive cytoplasm of very large cells, especially

post-mitotic cells, and these pathways are prominent even though caspase genes, messages, and pro-enzymes are found in the cells. These forms of cell death are fully physiological and not simply a default pathway for a defective cell; and they are distinct from necrosis. We do not yet understand the extent to which the pathways are linked, what mechanisms trigger the caspase-independent deaths, and how the choices are made. Addresses

*Department of Biological Sciences, St. John’s University, 8000Utopia Parkway, Jamaica, NY 11439, USA; *e-mail: lockshin@https://www.doczj.com/doc/ef10792613.html,

?Department of Biology, Queens College and Graduate Center of the City University of New Y ork, 65-30 Kissena Boulevard, Flushing,

NY11367, USA; #e-mail: Zahra_zakeri@https://www.doczj.com/doc/ef10792613.html,

Current Opinion in Cell Biology2002, 14:727–733

0955-0674/02/$ — see front matter

? 2002 Elsevier Science Ltd. All rights reserved.

DOI 10.1016/S0955-0674(02)00383-6

Abbreviations

MMP matrix metalloproteinase

zVAD.fmk benzyloxycarbonyl valyl alanyl aspartate

fluoromethylketone

Introduction

The discovery of caspases and the elucidation of the role of these enzymes in apoptosis have been a brilliant chapter in cell biology. However, as is the case with virtually all major developments, the situation is more complex. In the sense of the more trivial interpretation of a quotation from the Ethics of the Fathers, ‘Despise no one and do not discard anything, for there is no one whose hour does not come and no thing without its place’, it is now time to note that caspases do not represent the unique effectors of cell death. Indeed, many ideas are returning to haunt us from the past, including the roles of lysosomal and serine proteases. This earlier literature has been reviewed in recent publications [1?,2?].

T wo sources of confusion are reflected in many publications, and it is important at the outset to recognize them. First, it should be obvious, but often is not, that inhibition of one or more caspases will not prevent the death of a severely compromised cell. This statement is the equiv-alent of stating that providing water to a starving individual will prevent death by dehydration but not eventual death. It is therefore not surprising that caspase inhibition does not prevent the death of cells deprived of growth factors or those exposed to strong metabolic toxins or to physiological killing agents such as glucocorticoids. The second source of confusion is failure to acknowledge a continuum between apoptosis and necrosis. Necrosis, narrowly defined, results from rapid or massive loss of control of energy resources or membrane barriers, and is typified by osmotic swelling of the cell and organelles (commonly mitochondria), lysis, and extraction of cyto-plasmic contents. There are, however, controlled forms of death, most commonly autophagic deaths, in which much of the cytoplasm is destroyed by lysosomal or proteasomal proteases. These are often confused with necrosis. In this sense, it is important to remember that some forms of necrosis may be artefacts. Thus, massive toxic insult to an animal may overwhelm macrophages, so that apoptotic cells are never scavenged and ultimately become necrotic. In vitro, the absence of phagocytes may lead to the same end. These comments therefore address the narrower issue of caspase-independent cell deaths of physiological interest. Autophagy and proteasomal digestion are frequently seen in physiological or programmed cell death, and we focus on this here. The idea that death, once induced, may occur through any of several pathways is illustrated in Figure 1. Caspase dependence of apoptosis

Caspases are highly conserved in animals from hydra [3] to mammals, including Drosophila[4,5,6] but are not found in yeast, Dictyostelium(although it does undergo a programmed cell death [7?,8,9]), or plants [10]. These organisms may contain similar genes. Yeast, and perhaps other organisms, have metacaspases, which resemble caspases but have no currently known function [11]. Cell deaths in these organisms do not closely resemble classical apoptosis, reinforcing the idea that apoptotic morphology results from activation of the caspase cascade. Apoptosis-like and other types of programmed cell death

Efforts to classify cell deaths as either apoptosis or necrosis have been a bit overzealous. During insect metamorphosis for instance, earlier literature in the 1960s and 1970s, and more recent literature [12]has demonstrated that the death of large, cytoplasm-rich cells such as muscle and labial gland consists of a prolonged period of cytoplasmic destruction, and concludes with a final conversion to apop-totic morphology of the cell and nucleus. In mammalian cells, the territory between classical apoptosis and classical

Caspase-independent cell deaths Richard A Lockshin*and Zahra Zakeri?

necrosis is filled with many intermediates in which blebbing may be more or less prominent, and there are varying degrees of chromatin condensation and margination. Proteases other than caspases may account for the apoptosis-like appearance of the nucleus [13??,14]. As more investi-gators identify cell death in different systems or under different conditions, we find more variations to the classical theme of apoptosis versus necrosis. It is likely that we will need to recognize a near continuum of types of cell death.Death of cells in the presence of caspase inhibitors or in knockouts

Transgenic models

With the advent of transgenic models, we have gained great knowledge about the function of many genes. However, they have often forced new questions rather than providing answers. Knockouts and inhibitors produce problems of their own. With knockouts of caspases or other genes, a primary problem is redundancy, such that overexpression of compensatory enzymes eventually yields a normal phenotype, although the dynamics of the development of the phenotype may be modestly altered [15]. A secondary problem is that the knockout may produce unintended and misunderstood consequences. For instance, individual knockout of each of several caspases does not seriously disrupt early embryonic development [15] but knockout of caspase-9 is lethal, owing to massive overgrowth of the forebrain, leading to exencephaly [16??,17]. This result was originally interpreted to indicate excess cell number deriving from failure of apoptosis; however, an extra round of mitosis could double the number of neurons and create a similar phenotype. Oppenheim and colleagues [16??,18] explored this possibility, noting that the spinal cord, in which embryonic neuronal cell death is equally common as in the brain, appeared to be normal. They found that cell deaths in the brain and spinal cord were normal, but that the cells did not look apoptotic. Thus, the cause of the overgrowth remains unexplained; and more importantly, loss of caspase-9 altered the morphology but not the frequency of cell death.

As is noted in the Introduction, once a cell has lost its primary supporting mechanisms, any of several paths can lead to its death. If the caspase sequence is inhibited, death domain receptors can still initiate a necrotic signaling pathway [19]. Similarly, Apaf1 (apoptotic protease inhibiting factor 1) knockout mice die during embryonic development due to brain overgrowth. There is also a delay in cell death in the limb, leading to prolonged webbing of the digits. However, the interdigital cells die, and this type of cell death does not appear to be classical apoptosis either [20].

Caspase inhibitors

Most other studies purporting to demonstrate the require-ment for caspase control of cell death are based on the use of inhibitors, primarily chloromethylketone (cmk) or fluoromethylketone (fmk) derivatives of substrate peptides. The most popular are zVAD.fmk (benzyloxycarbonyl valyl alanyl aspartate fluoromethylketone), considered to be a relatively non-specific caspase inhibitor, and DEVD.fmk (aspartic glutamic valyl aspartate fluoromethylketone), a caspase-8 inhibitor. In many experiments, application of these inhibitors has a substantial impact on the phenomenon under investigation. However, researchers tend to use the inhibitors at around 50 μM. In our hands, this concentration of zVAD.fmk will seriously disrupt development of the mammalian pre-implantation embryo. However, at the

728Cell division, growth and death

concentrations these inhibitors also completely inhibit the lysosomal acid proteases cathepsins B and H. In vitro, the ID50of zVAD.fmk against cathepsin B is closer to 8 μM, and 1 μM is sufficient to inhibit purified cathepsin B; [21??,22.) This is often missed because cathepsin B does not hydrolyze the caspase-1 substrate Ac-YVAD.amc (acetyl lysyl valyl alanyl aspartate aminomethylcoumarin) and barely hydrolyzes the caspase-3 substrate Ac-DEVD.amc (acetyl aspartic glutamic valyl apartate aminomethyl-coumarin) [22]. Alternatively, caspases may play roles other than those obviously related to cell death. Inhibition of caspases (although possibly also cathepsins) can lead to activation of dormant HIV in a cell [23].

Other proteases activated in dying cells

In situations such as attack by granzymes (not discussed here), cell death may or may not proceed through a caspase cascade [24,25], and in several other situations, such as degeneration of insect muscle, other proteolytic machinery, such as proteasomes, plays a substantial role. Ubiquitination of cytoplasmic substrates, and their delivery to the proteasome, is an important aspect of the removal of cytoplasm from muscle and other large cells [26]; but proteasomes play a much more complex role in the regulation of apoptosis. When apoptosis is invoked in response to a signal, pro-apoptotic proteins (e.g. Bax [Bcl-associated X protein] and caspases) may be activated, synthesized or translocated, or anti-apoptotic proteins (e.g.AIF [apoptosis-inhibiting factor] or Bcl-2 [B-cell lymphoma 2]) inactivated or destroyed. The proteasome is deeply involved in this process, being able to degrade Bcl-2family members, BAG1 (Bcl-2-binding athanogene 1), p53, TRAF2 (tumor necrosis factor receptor associated factor 2), IκB (inhibitor of NF-κB) and IAPs (inhibitor of apoptosis proteins) [27]. Furthermore, the IAPs themselves have ubiquitin ligase activity, and proteasomal cleavage may activate several growth and death factors, including JNK (c-Jun amino-terminal kinase) and NFκB [28]. Overall, the proteasomal protease is well placed to modulate the decision as to whether or not to undergo apoptosis, as both pro- and anti-apoptotic proteins may be consumed by the proteasome. The amount of ubiquiti-nation or the number of proteasomes may be the deciding factor [29], and inhibition of proteasomal proteolysis may have a greater impact on cell death than does inhibition of caspases [30]. Distelhorst suggests that proteasomes may, by degrading pro- or anti-apoptotic proteins, determine the apparent mechanism of death.

Matrix metalloproteinases (MMPs), first detected in a classic case of developmental cell death (tadpole metamorphosis), are another type of protease influential in cell death, in that they can free cells from their attachments and lead cells to apoptosis via anoikis (death by isolation from normal cell-substratum contact) [31]. First documented in amphibia, these enzymes perform similar functions in mammals, and they play a substantial role in a much wider variety of diseases than can be addressed here[32,33].

Autophagic cell death

Lysosomes

By far the potentially most studied of the caspase-independent cell deaths are the autophagic cell deaths. Long before caspases were discovered, a substantial amount literature focused on the role of lysosomes in cell death [34] and studies of models that were later taken to represent classic apoptosis, such as hormone-deprived prostate and post-lactational mammary gland, emphasized the role of lysosomes in the death of the cells. In many situations under modern investigation, including lymphocytes exposed to glucocorticoids [35], inhibition of cathepsin B or proteasomal proteases interferes with cell death or apoptosis more effectively Caspase-independent cell deaths Lockshin and Zakeri 729

than does inhibition of caspase-3. Apparently similar lymphocytes may show considerable variance in dying,because metabolic or historical differences tip the balance of fate in different directions.

Lysosome-mediated deaths are often ‘apoptosis-like’, to use Leist and J??ttel?’s [13??]term, and the options open to cells often cover the complete spectrum from autophagic (meaning that the cytoplasm is actively destroyed long before nuclear changes become apparent [Figure 2]) to classically apoptotic (meaning that the chromatin marginates and the cell and nucleus fragment before morphological changes are seen in intracellular organelles [36]). What happens to a cell is often a matter of dose, timing, and duration of the noxious as opposed to supportive stimuli.Very little is known about the controls of these processes.The early literature on insect metamorphosis had remarked the regulation of autophagy, such that specific organelles such as mitochondria were often removed in a precisely timed wave of autophagy [37?]. Xue et al. [38?]reported more recently that when apoptosis is blocked in neurons or HeLa cells, the failure of the cells to survive is linked to an autophagic clearance of mitochondria from the damaged cells. This leads to the intriguing possibility that in metamorphosing insects (and perhaps other situations in which autophagy predominates), the triggering mecha-nisms reflect the same mitochondrial depolarization that leads to activation of caspase-9, but in the absence of caspase-9 it diverts to an autophagic route.

Cells may, of course, atrophy without dying, as is well known for muscles and hormone-dependent tissues,and it is also true that axons of neurons may wither or otherwise deteriorate independently of the fate of the cell body. Although the mechanism of axonal deterioration is not known, it apparently is independent of caspase activity, even though the nerve cell body may die by true apoptosis [39?].

Distinguishing among proteases

Distinguishing among the different proteases, unfortunately,is less precise than we would wish. Proteases are often activated rather than synthesized for cell death. In most cases, therefore, measurement of mRNA or protein levels is of limited value. Thus, most laboratories rely on measure-ment of activity of proteases. For at least mammalian caspases, antibodies are available from several sources that specifically identify the active form of the enzyme.Otherwise, identification is usually through the use of site-specific substrates (small peptides from which a fluorogenic moiety or caged fluor is released, available for both biochemical and intracellular use; or proteins such as PARP that are cleaved at known sites) or site-specific inhibitors that covalently link to the active site and contain a fluorescent or other tag. However, the substrates and especially the inhibitors (which are often used at concentra-tions two to three orders of magnitude over their inhibiting level) display overlapping activity (T ables 1 and 2) and may not accurately identify the protease (T able 3). Protein inhibitors, such as the viral inhibitors of caspases,appear to be relatively specific. Since caspases are typically active in cytoplasm or nucleus, while cathepsins usually appear to be active in lysosomes or autophagosomes and MMPs may be extracellular, cell fractionation or histo-logical identification may help resolve ambiguities. In appropriate situations, lysosomal activity may be blocked by 5-methyladenine. The development of degradome chips, in which specific proteases are identified by antibody, active site or activity, will permit researchers to screen many proteases simultaneously [40,41]. Otherwise,researchers should be circumspect in their conclusions.

Absence of caspase activation

T o state that caspase-type genes exist in the genome of an organism, or even that activation of caspases can lead to the death of cells in culture, does not resolve the question of how they function in the organism. Caspases function in

730Cell division, growth and death

Table 1

Specificity profile of protease inhibitors.Inhibitor Specificity

Caspase-3

Cathepsin B Calpain

zVAD.fmk

Pan- caspase

0.158>100

DEVD.CHO Caspase-3<0.150>100CA-074-Me Cathepsin B >1000.5>100Pepstatin Cathepsin D >100>100>100TPCK Serine protease

>10050>100

ALLN Calpain >100<0.1 1.2

Apparent IC 50 in M. DEVD.CHO, aspartic glutamic valyl aspartate aldehyde; CA-074-Me, cathepsin B inhibitor IV (L-3-trans -[Polycarbamoyl]oxirane-2-carbonyl)-L-isoleucyl-L-proline methyl ester) from Calbiochem-Novabiochem Corp., La Jolla, CA; TPCK,tocyl-L-phenyl chloromethylketone; ALLN, N -acetyl leucyl leucyl norleucyl aldehyde. Data is reproduced, with permission, from

Schotte et al . (1999) [22]. zVAD.fmk inhibits several caspases and is considered a pan-caspase inhibitor.

Table 2

Effect of fluorometylketones inhibitors on cathepsin B in vitro and in tissue culture.Condition

Control

zVAD.fmk

Ac-YVAD.fmk

z-DEVD.fmk

z-FA.fmk

Purified enzyme, 1 M inhibitor 600060000Cultured cells, 50 M inhibitor 8502525

Activity of cathepsin B in F/min = increase in fluorescence/minute. Ac-YVAD.fmk, acetyl lysyl valyl alanyl aspartate fluoromethylketone;z-DEVD.fmk, benzyloxycarbonyl aspartic glutamic valyl aspartate fluoromethylketone; z-FA.fmk, benzyloxycarbonyl phenyl alanyl fluoromethylketone. Data is reproduced, with permission, from Schotte et al . (1999) [22].

several other physiological situations, including the activation of interleukin, and perhaps in the pre-implantation embryo and elsewhere. The caspases evolved from a substantial family of proteases, which undoubtedly had other functions, including perhaps the destruction of host cells by parasites [42,43]. Caspase-1 is overexpressed in at least one situation not obviously associated with apoptosis [44], and other caspases may be involved in cell differentiation and stimulatory responses [45]. Thus, roles for caspases other than in cell death should be explored. Several caspase-type genes have been documented for Drosophila and their activity demonstrated in cultured cells, in affecting the phenotype of the Bar mutant, in which the number of ommatidia in the eye is reduced because of loss of cells; manipulating the activity of the Hid, Reaper, Grim and Scythe genes can affect the penetrance of the mutation (particularly those of more recent evolu-tionary origin [46]) and ommatidium development [6,47,48]. However, involution at metamorphosis of the salivary gland in Drosophila and other insects has long been con-sidered to be autophagic in style [49,50,51]. In both Drosophila and Manduca(Lepidoptera), the appearance of characteristics of apoptosis occurs only in the last 10% of the period of involution. During this period, we find evidence for the activation of cathepsin B and calpain, a calcium-activated protease, but no evidence for activation of any caspase (COB Facey and RA Lockshin, unpublished data). These results are fully consistent with the argument that destruction of cytoplasm is often achieved without caspases, and they beg the issue of the role of caspases in these large post-mitotic cells.

Why does it appear that caspase-driven apoptosis is the mode of death in an insect embryo but not a metamor-phosing adult? The answer to this question potentially can tell us a lot about the decisions to activate caspases or other routes to cell death.

Conclusions

The caspase cascades represent a major mechanism of

cell loss, but they do not define the entire story. First, in many situations prevention of caspase enzymatic activity may block the appearance of an apoptotic morphology or degradation of DNA but fail to maintain the cell. Second, in many cells — particularly large, cytoplasm-rich or post-mitotic cells — removal of the cytoplasm by lysosomal (autophagic) or proteasomal means often occurs much earlier than activation of caspases or appearance of classical apoptotic morphology. In other cases, the remnants of the reduced cell may be removed by phagocytes without appearing apoptotic. Third, many claims for the primacy of caspases are based on the use of inhibitors under circumstances where the inhibitors are likely to act non-specifically.

There is a broad range of styles of cell death, most of which reflect a physiological control. In evaluating cell death,researchers should keep in mind that cells have several options to die under control, each of which may be characterized by different manifestations. How these autophagic and proteasomal mechanisms are controlled, and whether they are influenced by regulators of apoptosis, remains a fruitful subject of study. Acknowledgements

This review was written while the authors were supported by a National Institutes of Health grant (1R15 GM/AG 1057614 to RA Lockshin). References and recommended reading

Papers of particular interest, published within the annual period of review, have been highlighted as:

?of special interest

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Caspase-independent cell deaths Lockshin and Zakeri 731

Table 3

Peptide sequences of some commonly used substrates or inhibitors for proteases (generally used at 1–100 ).

Enzyme

Substrate or

inhibitor peptides Comments

Caspase-1WEHD, YVKD,YVAD can inhibit

YVAD* caspase-4

Caspase-2VDVAD*

Caspase-3ESMD, IETD,

DMQD?

DEVD*?Also has inhibitory

activity with

caspase-7

Caspase-4LEVD?

Caspase-6VEID*

Caspase-8IETD, IEPD,IETD also for

AEVD*? caspase-3

Caspase-9LEHD*

Caspase-10AEVD*

Caspase-11(I/L/V/P)EHD*

Caspase-13LEED*

Cathepsin B RR, ARR?

substrates

Cathepsin B

inhibitors

FA, LVW, LLR??

FG Also cathepsin L and

S, papain

LLM Also cathepsin L,

calpain

LL Also cathepsin L, D

and I

Cathepsin B RR, ARR?

substrates

Cathepsin D

inhibitors

LVF, pepstatin?

Cathepsin D RGFFP?

substrates

Cathepsin L

inhibitors

FF/Y?

Cathepsin L

substrates

FR?

Manufacturers for the protease substrates and inhibitors: *R&D (Minneapolis); ?Bachem (Pennsylvania); ?Calbiochem (La Jolla).

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