After release from injured mitochondria, cytochrome c triggers formation of a cytosolic complex that activates the intrinsic apoptotic pathway. This complex consists of:
- A Cytochrome c, BCL2, BAX, and NADPH
- B Cytochrome c, RIPK3, MLKL, and ATP
- C Cytochrome c, FADD, procaspase-8, and dATP
- D Cytochrome c, Apaf-1, procaspase-9, and dATP ✓
Explanation
Cytochrome c released through BAX/BAK pores binds Apaf-1 in the presence of dATP, forming the apoptosome, which recruits and activates procaspase-9, the initiator caspase of the intrinsic pathway. Option C describes the DISC complex of the extrinsic pathway, where FADD links Fas to procaspase-8. Option B lists components of necroptosis, and BCL2 is anti-apoptotic and located on the mitochondrion, not part of this complex.
Reference: Robbins and Cotran Pathologic Basis of Disease, 10th ed.
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Written and medically reviewed by the StethoPrep medical team.