Paper I — 2024 March (Supplementary) (2019 Scheme) — Q10
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Paper I
2024 March (Supplementary) (2019 Scheme) · 100 marks · 180 min
Question
Apoptosis
Q104 marksShort Answers
Answer
Apoptosis is a regulated, energy-dependent form of programmed cell death, characterized by cell shrinkage, chromatin condensation, nuclear fragmentation, and formation of membrane-bound apoptotic bodies, without eliciting inflammation.
Mechanisms
Intrinsic (mitochondrial) pathway: Triggered by growth factor withdrawal or DNA damage; mitochondrial outer membrane permeabilization releases cytochrome c, activating caspase-9 and downstream executioner caspases
Extrinsic (death receptor) pathway: Triggered by ligand binding to death receptors (Fas/FasL, TNF receptor), activating caspase-8
Physiological roles
Embryogenesis, hormone-dependent tissue involution, elimination of self-reactive lymphocytes, deletion of cells that have served their purpose
Pathological roles
Cell death from DNA damage (radiation, cytotoxic drugs), viral hepatitis (councilman bodies), pathologic atrophy after duct obstruction, tumour cell death in response to therapy