Pathology · Cell Injury, Death and Adaptations (Apoptosis, Necrosis, Free Radicals)

In the intrinsic (mitochondrial) pathway of apoptosis, cytochrome c released from mitochondria binds to which cytoplasmic adaptor protein to form the apoptosome?

  • A FADD (Fas-associated death domain)
  • B TRADD (TNFR-associated death domain)
  • C RIP1 (receptor-interacting protein kinase 1)
  • D Apaf-1 (apoptotic protease activating factor-1)
Correct answer: D. Apaf-1 (apoptotic protease activating factor-1)

Explanation

In the intrinsic pathway, BAX/BAK form pores in the mitochondrial outer membrane, releasing cytochrome c into the cytosol. Cytochrome c binds to Apaf-1, inducing its oligomerization into the heptameric apoptosome, which recruits and activates procaspase-9. Active caspase-9 then cleaves downstream effector caspases (caspase-3, -6, -7) to execute apoptosis. FADD and TRADD are adaptor proteins in the extrinsic (death-receptor) pathway; RIP1 mediates necroptosis.

Reference: Robbins & Cotran Pathologic Basis of Disease, 10th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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