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Vol. 18, Issue 1, 84-93, January 2007
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Institute of Molecular Medicine, University of Düsseldorf, Düsseldorf D-40225, Germany
Submitted April 3, 2006;
Revised September 27, 2006;
Accepted October 25, 2006
Monitoring Editor: Gerard Evan
| ABSTRACT |
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M contributes to cytochrome c release and whether caspases are involved. Moreover, an unresolved question is whether caspase-2 functions as an initiator in genotoxic stress-induced apoptosis. In the present study, we have identified a mutant Jurkat T-cell line that is deficient in caspase-9 and resistant to apoptosis. Anticancer drugs, however, could activate proapoptotic Bcl-2 proteins and cytochrome c release, similarly as in caspase-9proficient cells. Interestingly, despite these alterations, the cells retained 
M. Furthermore, processing and enzyme activity of caspase-2 were not observed in the absence of caspase-9. Reconstitution of caspase-9 expression restored not only apoptosis but also the loss of 
M and caspase-2 activity. Thus, we provide genetic evidence that caspase-9 is indispensable for drug-induced apoptosis in cancer cells. Moreover, loss of 
M can be functionally separated from cytochrome c release. Caspase-9 is not only required for 
M loss but also for caspase-2 activation, suggesting that these two events are downstream of the apoptosome. | INTRODUCTION |
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Another characteristic event observed during cell death is the loss of the mitochondrial transmembrane potential 
M, the electrochemical proton gradient generated by the respiratory chain (Newmeyer and Ferguson-Miller, 2003
). It is currently unclear how the loss of 
M contributes to the apoptotic process. Breakdown of 
M could be caused by opening of the permeability transition pore, which is a large protein channel spanning the outer and inner mitochondrial membrane, during a process called mitochondrial permeability transition (Zamzami and Kroemer, 2001
). A second model suggests that only Bcl-2 family proteins are necessary for MOMP and cytochrome c release and that the loss of 
M is a downstream and caspase-dependent phenomenon (Martinou and Green, 2001
; Ricci et al., 2004
). Currently, there is major controversy over whether the loss of 
M is coupled to and required for MOMP and cytochrome c release or whether loss of 
M is a downstream and caspase-dependent phenomenon.
Caspases are aspartate-specific cysteine proteases that are synthesized in cells as inactive zymogens containing a prodomain and a large and a small subunit (Fuentes-Prior and Salvesen, 2004
). The active enzyme is composed of a heterotetramer formed by two large and two small subunits. Caspases can be divided functionally into initiator and executioner caspases (Fuentes-Prior and Salvesen, 2004
). Initiator caspases, such as caspase-8, -9, and -10, are characterized by a long prodomain, containing proteinprotein interaction motifs. These interaction motifs allow dimerization of the initiator caspases, which is sufficient for initial enzyme activity and autoproteolytic cleavage (Boatright et al., 2003
; Donepudi et al., 2003
; Baliga et al., 2004
). Activation of executioner caspases occurs by cleavage between the subunits. On processing, initiator caspases become fully active and activate downstream executioner caspases, such as caspase-3, -6, and -7, which then cleave key substrates, leading to apoptotic cell death (Fischer et al., 2003
).
The dimerization and activation of the initiator caspases occurs at multiprotein complexes. In death receptor pathway, caspases-8 and -10 are activated at a death-inducing signaling complex (DISC) formed upon ligand binding (Peter and Krammer, 2003
). In the mitochondrial pathway caspase-9 serves as an initiator caspase. When cytochrome c is released from the mitochondrial intermembrane space, it binds to Apaf-1, leading to the recruitment and activation of caspase-9 in a high-molecular-weight complex called the apoptosome (Wang, 2001
).
Similarly to caspase-8, -9, and -10, caspase-2 is characterized by a long prodomain and is thus often regarded as a bona fide initiator caspase. The cleavage specificity of caspase-2, however, is more related to effector caspases (Thornberry et al., 1997
), making it difficult to assign a function of caspase-2 as a regulatory or downstream protease. Recent reports demonstrated that caspase-2 might act as an apical protease in stress- or death receptormediated apoptosis (Lassus et al., 2002
; Robertson et al., 2002
; Tinel and Tschopp, 2004
; Wagner et al., 2004
; Werner et al., 2004
). Moreover, it was suggested that caspase-2 is required for MOMP and the release of cytochrome c in response to DNA-damaging agents (Guo et al., 2002
; Robertson et al., 2002
; Enoksson et al., 2004
). Other reports suggested that caspase-2 is activated downstream of Bax and Bak and cannot bypass the apoptosome (O'Reilly et al., 2002
; Ruiz-Vela et al., 2005
). Thus, there is conflicting evidence of whether caspase-2 functions as an initiator or effector during apoptosis. Moreover, elucidation of the functional role of caspase-2 has been obscured by the lack of an overt phenotype of caspase-2 knockout mice (Bergeron et al., 1998
; O'Reilly et al., 2002
).
Here we describe the identification of a caspase-9deficient Jurkat clone that is resistant to induction of apoptosis by genotoxic agents and activates virtually no caspase in response to DNA damage. Analysis of mitochondrial events showed that caspase-9deficient cells released cytochrome c upon DNA damage but, interestingly, retained their mitochondrial membrane potential 
M. When caspase-9 was reconstituted, both apoptosis and loss of 
M were restored, clearly suggesting that cytochrome c release and 
M breakdown are separate and consecutive events, with the latter being caspase-dependent. Finally, we demonstrate that during genotoxic stress caspase-2 processing as well as acquisition of its catalytic activity is dependent on caspase-9.
| MATERIALS AND METHODS |
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-actin and Bcl-2 as well as antisera against c-IAP1 and c-IAP2 were purchased from Santa Cruz Biotechnology (Santa Cruz, CA). The anti-Bim mAb was from Alexis (Grünwald, Germany) and polyclonal anti-Bcl-xL from Transduction Laboratory (Heidelberg, Germany). The anti-caspase-8 mAb was obtained from Biocheck (Münster, Germany), and antibodies against caspase-2 were from Alexis and Santa Cruz Biotechnology. The anti-Apaf-1 polyclonal antibody was from Chemicon (Temecula, CA). Secondary antibodies, anti-mouse IgG, and anti-rabbit IgG coupled to horseradish peroxidase were purchased from Promega (Mannheim, Germany). Anti-goat IgG coupled to horseradish peroxidase was purchased from Molecular Probes (Karlsruhe, Germany) and biotin-VAD-fmk (biotin-Val-Ala-Asp-[OMe]-fluoromethylketone) from ICN (Eschwege, Germany). Staurosporine, etoposide, doxorubicin, daunorubicin, and propidium iodide (PI) were obtained from Sigma (Deisenhofen, Germany). CD95L was a gift of Dr. Harald Wajant.
Reverse Transcriptase-PCR
RNA was isolated from cells using a total RNA isolation kit (Qiagen, Hilden, Germany). Reverse transcriptase (RT) reaction and PCR were performed using the titanium one-step RT-PCR kit (BD Biosciences, Heidelberg, Germany). For standardization, each RT sample was PCR-amplified for glyceraldehyde-3-phosphate dehydrogenase (GAPDH). The 3' and 5' primers used for amplification were (5'-ATG GAC GAA GCG GAT CGG) and (5'-CCC TGG CCT TAT GAT GTT-3') for caspase-9, and (5'-GTG GAA GGA CTC ATG ACC ACA G-3') and (5'-CTG GTG CTC AGT GTA GCC CAG-3') for GAPDH.
Stable Expression of Caspase-9
Caspase-9deficient Jurkat cells were electroporated with a GenePulser II (Bio-Rad, Munich, Germany) in a 0.4-cm cuvette at 250 V and 950 µF with 20 µg of DNA in 200 µl per transfection and selected for G418 resistance. The N-terminally Flag-tagged procaspase-9 construct was kindly provided by G. Salvesen.
Flow Cytometric Analyses
Cells (1 x 106 per assay) were stimulated for the indicated time in a 24-well plate with 100 µM etoposide, 1 µM doxorubicin, 1 µM daunorubicin, or 2.5 µM staurosporine or were left untreated. Apoptosis was assessed by measurement of DNA fragmentation as described previously (Schmitz et al., 2004
). Briefly, apoptotic nuclei were prepared in a hypotonic lysis buffer (1% sodium citrate, 0.1% Triton X-100, 50 µg/ml PI) and analyzed by flow cytometry. Nuclei to the left of the 2N peak, containing hypodiploid DNA, were considered apoptotic. PI uptake (2 µg/ml) into nonfixed cells was evaluated by flow cytometric analyses with the FSC/FL2 profile (Wesselborg et al., 1999
). Flow cytometric analysis of cytochrome c release was carried out as published previously (Waterhouse and Trapani, 2003
). For measurement of the mitochondrial membrane potential, cells were incubated with 5,5',6,6'-tetrachloro-1,1',3,3'-tetraethylbenzimidazolylcarbocyanine iodide (JC-1; 5 µg/ml; FL-1; Molecular Probes) for 20 min at room temperature in the dark, followed by analysis in a flow cytometer (FACScalibur, BD Biosciences). For flow cytometric analysis of Bak conformational change, cells were fixed in PBS/0.5% paraformaldehyde on ice for 30 min and subsequently washed three times in PBS/1% FCS. Staining with conformation-specific anti-Bak and isotype-matched control antibody was performed with a 1:50 dilution of the respective antibody in 50 µl staining buffer (PBS, 1% FCS, 50 µg/ml digitonin). Subsequently, cells were washed and incubated for 30 min in 50 µl staining buffer containing 0.1 µg Alexafluor 488labeled chicken anti-mouse IgG.
Immunoblotting
Cells were lysed in lysis buffer (20 mM Tris/HCl, pH 7.4, 1% Triton X-100, 10% glycerol, 150 mM NaCl, 1 mM PMSF, and 1 µg/ml each leupeptin, antipain, chymostatin, and pepstatin A) for 15 min on ice and centrifuged (15 min, 14,000 x g). For Western blot analysis postnuclear supernatants, equivalent to 1 x 106 cells or 30 µg of protein, were loaded on a SDS-PAGE and transferred to a polyvinylidene difluoride membrane (Amersham Bioscience, Freiburg, Germany). The membrane was blocked with 5% BSA in Tris-buffered saline (TBS)/0.2% Tween for 2 h and incubated overnight with the primary antibodies at 4°C. Membranes were washed four times with TBS/0.02% Triton X-100 and incubated with the respective peroxidase-conjugated secondary antibody for 1 h. After extensive washing, the proteins were visualized by enhanced chemiluminescent staining using ECL reagents (Amersham Bioscience).
Caspase Activity Assay
Fluorogenic caspase assays were performed as described previously (Sohn et al., 2005
), using total cell extracts from cells treated with 2.5 µM staurosporine or 100 µM etoposide. Caspase-2-, -3-, and -9-like activities were measured using their respective substrates VDVAD-AMC, DEVD-AMC, and LEHD-AMC (Biomol, Hamburg, Germany). For the cleavage assays, 50 µg of the cell extracts was dissolved in 200 µl substrate buffer containing 50 mM HEPES, pH 7.3, 100 mM NaCl, 10% sucrose, 0.1% CHAPS, 10 mM DTT, and 50 µM substrate. The reaction was incubated at 37°C and measured in triplicates in a Lambda Fluro 320 Plus fluorimeter (Biotek, Bad Fridrichshall, Germany).
In Vivo Labeling of Active Caspases
To label the active site of caspases, 1 x 107 cells were incubated after apoptosis induction for an additional hour with 10 µM biotin-VAD-fmk. Cells were harvested by centrifugation and extracted in 500 µl lysis buffer (50 mM Tris/HCl, pH 7.4, 150 mM NaCl, 1% NP-40, 1 mM DTT) containing 2 µg/ml the protease inhibitors aprotinin, leupeptin, pepstatin, and 1 mM phenylmethylsulfonyl fluoride. The biotinylated proteins were captured on 30 µl streptavidin-conjugated agarose beads (Calbiochem, Bad Soden, Germany). After overnight rotation at 4°C the agarose beads were extensively washed in lysis buffer containing 0.5% NP-40. The biotinylated proteins were eluted from the beads by addition of 60 µl SDS-sample buffer and incubation at 95°C for 10 min. Cell extracts, 25 µg, or the eluted biotinylated proteins, 25 µl, were used for SDS-PAGE and subsequent Western blot analysis.
Transmission Electron Microscopy
Transmission electron microscopy was performed as described previously (Schwerk and Schulze-Osthoff, 2005
). Briefly, treated and untreated J16 and JMR cells were harvested, washed with PBS, and fixed in 5% glutaraldehyde in 0.1 M sodium cacodylate buffer (pH 7.2) at 4°C. Cells were further processed, embedded, and prepared using standard methods. Electron micrographs were taken using a Zeiss 902 electron microscope (Jena, Germany).
| RESULTS |
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JMR Cells Express Normal Levels of Bcl-2 and IAP Family Proteins, but Are Devoid of Caspase-9
Bcl-2 proteins are the major regulators of the mitochondrial apoptotic pathway, and their deregulated expression might result in altered sensitivity toward genotoxic drugs. Therefore, immunoblot analyses were carried out for the proapoptotic multidomain Bcl-2 family members Bak and Bax as well as for the anti-apoptotic proteins Bcl-2 and Bcl-xL. As shown in Figure 2A, JMR cells and J16 cells expressed equivalent amounts of Bcl-2 and Bcl-xL. Moreover, there were no significant differences in the expression levels of Bax and Bak between the two Jurkat cell clones. Another subgroup within the Bcl-2 family represents the proapoptotic BH3-only proteins, e.g., Bim and Bid. Western blot analyses showed no alterations in the expression of Bim and Bid in JMR cells, compared with J16 cells (Figure 2A). Thus, differences in the expression levels of Bcl-2 family proteins are presumably not responsible for the apoptosis-resistant phenotype of JMR cells.
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Staurosporine-mediated Caspase Activation Is Severely Impaired in JMR Cells
To investigate whether caspase-9 deficiency affects the activation of other caspases, J16 and JMR cells were treated with staurosporine for different time periods. Subsequently, immunoblot analyses were carried out for caspase-3, -8, and -9. A strong activation of all three caspases was observed in J16 cells within 2 h of staurosporine treatment, as shown by the appearance of the respective cleavage fragments of the individual caspases (Figure 3). In contrast, no proteolytic processing of caspase-3 or -8 was seen in caspase-9deficient JMR cells (Figure 3). Caspase activation was also absent in JMR cells when measured by fluorescent substrate cleavage assays (see below). Taken together, these results suggest that Jurkat cells depend on caspase-9 for the execution of apoptosis induced by stimulation of the intrinsic death pathway.
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M of JMR Cells Is Not Altered during Genotoxic Stress
M is a typical and early event during apoptosis (Zamzami et al., 1995
M suggests that the integrity of the inner mitochondrial membrane is affected. Therefore, we measured 
M as an additional parameter for mitochondrial integrity. To this end, J16 and JMR cells were stimulated with staurosporine for 2 h and then stained with the 
M-sensitive dye JC-1. As assessed by flow cytometry, a rapid loss of 
M could be observed in J16 cells upon stimulation with staurosporine. In contrast, 
M did not decrease in JMR cells (Figure 5D). Even after prolonged treatment with staurosporine or etoposide, the 
M remained intact in JMR cells (Figure 5E). Thus, caspase-9 deficiency seems to uncouple cytochrome c release and loss of 
M as two separate events in apoptosis.
Stable Transfection of Caspase-9 Restores Sensitivity for Genotoxic Stress in JMR Cells
To verify that the resistance to anticancer drugs in JMR cells was due to the absence of caspase-9, JMR cells were stably transfected with a caspase-9 expression construct. When treated with etoposide or staurosporine, caspase-9reconstituted JMR/C9 cells showed cell shrinkage, nuclear condensation, membrane blebbing, and eventual demise comparable to J16 cells (Figure 6A). On incubation with staurosporine for 2 h, caspase-9reconstituted JMR cells displayed Bak activation, cytochrome c release and, importantly, also showed a rapid loss of 
M (Figure 6B), similar to J16 cells (see Figure 5). After 8 h of treatment the majority of caspase-9retransfected cells became PI-positive and underwent cell death (Figure 6B). Flow cytometric analyses of DNA fragmentation also indicated that apoptosis proceeded with comparable kinetics in J16 and JMR/C9 cells, while the parental JMR cells showed no signs of DNA fragmentation upon treatment with staurosporine or etoposide (Figure 6C).
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To analyze caspase activation in J16, JMR, and JMR/C9 cells, fluorescent substrate cleavage assays were performed with extracts from cells treated with either staurosporine or etoposide for different periods of time. Caspase-3-like (DEVDase) activity was observed in lysates from J16 and JMR/C9 cells after etoposide as well as after staurosporine treatment (Figure 7A). This was also true for caspase-9-like (LEHDase) activities. Even after prolonged stimulation with staurosporine or etoposide, JMR cells showed caspase activities for both substrates that were even lower than the background levels in unstimulated J16 and JMR/C9 cells (Figure 7A). Activation of caspases in response to etoposide or staurosporine treatment was also tested by immunoblotting. Western blot analysis showed proteolytic activation of caspase-9 in JMR/C9 cells upon etoposide treatment. The cleaved forms, p37 and p35, appeared with kinetics similar to those of J16 cells (Figure 7B). In addition, caspase-3 activation, as shown by the appearance of its processed p19 and p17 fragments, was similar in J16 and JMR/C9 cells, but absent in JMR cells (Figure 7B). Activation of caspase-9 and -3 was observed also in JMR/C9 cells, but not in parental JMR cells when treated with staurosporine (Figure 7C). Thus, the presence of caspase-9 is essential for activation of downstream effector caspases such as caspase-3.
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| DISCUSSION |
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We used JMR cells to address two highly contentious issues of apoptosis regulation. First, we show that, unlike cytochrome c release, loss of 
M is dependent on caspase activation in vivo. The loss of caspase-9 allowed us to clearly separate cytochrome c release from the decrease of 
M, suggesting that loss of 
M and mitochondrial outer membrane permeabilization (MOMP) are two independent and consecutive events. Although it is well established that anti-apoptotic Bcl-2 members control MOMP, there is a major controversy between the interrelationship of MOMP and loss of 
M. Several reports suggested that both events are coupled and that even cytochrome c release is dependent on the loss of 
M (Zamzami et al., 1995
; Zamzami and Kroemer, 2001
). Also the role of caspases in both processes has been unclear. It was reported that both, cytochrome c release and mitochondrial depolarization, depend on caspase activation (Marsden et al., 2002
, 2004
), whereas cytochrome c release was also demonstrated to occur earlier than caspase activation and mitochondrial membrane depolarization (Bossy-Wetzel et al., 1998
). Interestingly, blocking caspase activity by zVAD-fmk prevented loss of 
M, but not cytochrome c release. In fact it was shown that this disruption of mitochondrial function might be caused by the caspase-3mediated cleavage of a 75-kDa subunit of complex I in the electron transport chain (Ricci et al., 2003
, 2004
).
The opposing data have led to two models of mitochondrial permeabilization during apoptosis. In one model, MOMP has been suggested to occur by the opening of the permeability transition pore (PTP), a channel spanning the outer and the inner mitochondrial membrane. This PTP model suggests that the release of cytochrome c and the loss of 
M are coupled events (Zamzami and Kroemer, 2001
). The other model implies that only the outer mitochondrial membrane is permeabilized by proapoptotic Bcl-2 proteins, whereas mitochondrial membrane depolarization is a secondary event. It should be noted that most of these studies were done in cell-free systems or in permeabilized cells. Our data strongly argue against the PTP model and support a model in which the permeabilization of the outer membrane is sufficient for cytochrome c release without the requirement of additional events, including the loss of 
M. Moreover, because cytochrome c release occurred with similar kinetics in JMR and J16 cells, our data also argue against a caspase-dependent amplification loop of cytochrome c release. In agreement with our results, it was shown that in granzyme Binduced apoptosis a transient loss of 
M could be regenerated by zVAD-fmk, despite the fact that cytochrome c had been released into the cytosol (Waterhouse et al., 2006
).
We further used caspase-9deficient JMR cells to investigate the role of caspase-2 in genotoxic stress-induced apoptosis. Some reports had suggested that caspase-2 plays a crucial role in DNA-damage-induced apoptosis (Lassus et al., 2002
; Robertson et al., 2000
). Moreover, a recent study showed that caspase-2 is recruited to and activated at the CD95 DISC (Lavrik et al., 2006
). Supportive for an initiator function is the sequence of caspase-2, which contains a CARD motif that might assist dimerization of caspase-2 upon interaction with different adapter proteins including RAIDD or others (Read et al., 2002
; Baliga et al., 2004
; Zhivotovsky and Orrenius, 2005
). Caspase-2 has also been suggested to mediate the function of p53, which transcriptionally activates the death domain protein PIDD (Tinel and Tschopp, 2004
). Up-regulated PIDD, together with RAIDD or RIP1, can form a multiprotein complex, called the PIDDosome, which activates either caspase-2 or transcription factor NF-
B (Tinel and Tschopp, 2004
; Janssens et al., 2005
). Biochemical studies using RNAi or antisense strategies placed caspase-2 upstream of mitochondria and cytochrome c release (Lassus et al., 2002
; Robertson et al., 2002
; Lin et al., 2004
). In line with this, it was shown that recombinant caspase-2 was able to release cytochrome c in a Bcl-2-independent manner in permeabilized cells (Enoksson et al., 2004
; Robertson et al., 2004
). However, it cannot be excluded that recombinant caspase-2 activates other caspases in permeabilized cells or, by its ability to activate Bid, mediates cytochrome c release. Surprisingly, although one study showed that chemically inactivated caspase-2 still released cytochrome c (Robertson et al., 2004
), this was not observed with genetically inactivated caspase-2 (Enoksson et al., 2004
). Therefore, it remains unclear whether caspase-2 is directly involved in cytochrome c release. It is noteworthy that most studies suggesting a requirement of caspase-2 in stress-induced apoptosis used a single and identical small-interfering (si) RNA sequence (Lassus et al., 2002
; Lin et al., 2004
, 2005
). A recent correction to one of these studies, however, pointed out that other siRNA sequences that reduced caspase-2 levels in a similar manner in the same cell type failed to influence cell death induced by genotoxic stress (Lassus et al., 2004
).
Unlike caspase-8 or -9, caspase-2 obviously does not directly cleave another mammalian caspase, aside from its own precursor (Ricci et al., 2003
). However, procaspase-2 is efficiently cleaved by caspase-3 in vitro (Slee et al., 1999
), and in many experimental systems caspase-2 cleavage is detected downstream of caspase-3. For instance, it was shown that caspase-2 processing depends on caspase-3 and -9 during UV- and TNF-
induced apoptosis (Paroni et al., 2001
). Moreover, expression of dominant-negative caspase-9 inhibited caspase-2 activation upon stimuli of the intrinsic, but not the extrinsic pathway (Werner et al., 2004
). In line with this, no caspase-2 processing has been observed in irradiated thymocytes from Apaf-1 or caspase-9 knockout mice (O'Reilly et al., 2002
) or from Bax/Bak double-deficient fibroblasts (Ruiz-Vela et al., 2005
). Although most of these previous studies investigated caspase-2 processing as a measure of its activation, our experiments using peptide affinity labeling clearly suggest that caspase-2 also fails to acquire catalytic activity in the absence of caspase-9. Interestingly, a recent study (Tu et al., 2006
) failed to observe activation of caspase-2 in several settings where it had been implicated, including genotoxic stress. In contrast, caspase-2 was identified as a specific initiator caspase for heat-shockinduced apoptosis, in which it mediated MOMP and caspase-3 activation in a strictly Bid-dependent manner (Bonzon et al., 2006
; Tu et al., 2006
).
Thus, our data demonstrate that caspase-2 cannot bypass the apoptosome, but depends on caspase-9. Certainly, we cannot exclude the possibility that the role of caspase-2 in genotoxic stress-induced apoptosis might be cell type or stimulusspecific; however, studies proposing an initiator role of caspase-2 were also performed in Jurkat cells using the same apoptotic stimuli as in our study (Robertson et al., 2002
; Lin et al., 2004
; Tinel and Tschopp, 2004
). It might be argued that a minor amount of caspase-2 activation is sufficient to trigger the caspase cascade. We consider this possibility unlikely, because overexpression of caspase-2 is generally required to induce cell death (Baliga et al., 2004
). Recently, it was reported that caspase-2 is an activator of NF-
B and p38 kinase (Lamkanfi et al., 2005
), suggesting that caspase-2 might act as a proinflammatory rather than as an apoptotic caspase. This assumption would not only be consistent with the lack of an apoptotic phenotype in caspase-2 null mice (Bergeron et al., 1998
), but also with the sequence of caspase-2 that is more closely related to the proinflammatory than to the proapoptotic initiator caspases (Lamkanfi et al., 2002
).
| ACKNOWLEDGMENTS |
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| Footnotes |
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* These authors contributed equally to this work. ![]()
Address correspondence to: Ingo Schmitz (ingo-schmitz{at}uni-duesseldorf.de) or Klaus Schulze-Osthoff (kso{at}uni-duesseldorf.de)
Abbreviations used: 
M, mitochondrial membrane potential; MOMP, mitochondrial outer membrane permeabilization; PTP, permeability transition pore.
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