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

Which of the following pairs of initiator caspase and its activation platform is correct for the extrinsic (death receptor) pathway of apoptosis?

  • A Caspase-9 activated at the apoptosome assembled by Apaf-1 and cytochrome c
  • B Caspase-8 activated at the DISC assembled by FADD upon death receptor ligation
  • C Caspase-3 activated directly by tumor necrosis factor receptor clustering
  • D Caspase-12 activated by the inflammasome and gasdermin D pores
Correct answer: B. Caspase-8 activated at the DISC assembled by FADD upon death receptor ligation

Explanation

In the extrinsic pathway, engagement of Fas or TNF receptors leads to recruitment of FADD and procaspase-8 into the death-inducing signaling complex (DISC), where caspase-8 is activated and then cleaves executioner caspases 3 and 7. Option A describes the intrinsic mitochondrial pathway, where cytochrome c and Apaf-1 form the apoptosome to activate caspase-9. Caspase-3 is an executioner caspase and cannot be activated directly by receptor clustering without upstream initiator caspases.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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