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Submitted on December 5, 2002
Accepted on February 7, 2003
BAX and BAK Regulation of Endoplasmic Reticulum Ca2+: A Control Point for Apoptosis
Luca Scorrano 1,Scott A. Oakes 2,Joseph T. Opferman 2,Emily H. Cheng 2,Mia D. Sorcinelli 2,Tullio Pozzan 3,Stanley J. Korsmeyer 2*
1 Howard Hughes Medical Institute, Dana-Farber Cancer Institute, Brigham and Women's Hospital, Department of Pathology and Medicine, Harvard Medical School, Boston, MA 02115, USA; Venetian Institute for Molecular Medicine, 35121 Padova, Italy. 2 Howard Hughes Medical Institute, Dana-Farber Cancer Institute, Brigham and Women's Hospital, Department of Pathology and Medicine, Harvard Medical School, Boston, MA 02115, USA. 3 Venetian Institute for Molecular Medicine, 35121 Padova, Italy; Department of Biomedical Sciences, University of Padova, 35121 Padova, Italy.
* To whom correspondence should be addressed. E-mail: stanley_korsmeyer{at}dfci.harvard.edu.
BAX and BAK, "multidomain" proapoptotic proteins, initiate mitochondrialdysfunction, but also localize to endoplasmic reticulum (ER).Cells deficient for BAX and BAK (DKO) demonstrate a reducedresting concentration of Ca2+ in the ER that results in decreaseduptake of Ca2+ by mitochondria, following Ca2+ release fromthe ER. Expression of the sarcoplasmic-endoplasmic reticulumCa2+ ATPase (SERCA) corrected [Ca2+]er and mitochondrialCa2+ uptake in DKO cells, restoring apoptotic death in responseto agents that release Ca2+ from intracellular stores such asarachidonic acid, C2-ceramide and oxidative stress. In contrast,targeting of BAX to mitochondria selectively restored apoptosisto "BH3-only" signals. A third set of stimuli, including manyintrinsic signals, required both ER-released Ca2+ and the presenceof mitochondrial BAX or BAK to fully restore apoptosis. Thus,BAX and BAK operate at ER as well as mitochondria as an essentialgateway for selected apoptotic signals.
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