Apoptosis is a common final pathway in retinal degeneration in humans
1 2 and in animal models.
3 4 5 6 Although biochemical aspects are similar in all apoptotic cells (nuclear chromatin condensation, cytoplasmic shrinking, dilated endoplasmic reticulum, membrane blebbing, and internucleosomal DNA fragmentation),
7 8 different molecular events lead the cell to death. Caspases (cysteine aspartate–specific proteases) are the first proteases identified that coordinate and execute the apoptotic process in many apoptotic systems.
9 10 11 These proteins are synthesized as inactive zymogens and are activated by proteolytic cleavage to form a tetramer.
10 12 13 Two major pathways, leading to the degradation of key survival proteins,
14 have been described for caspase activation: the extrinsic pathway initiated by ligand binding to a death receptor and the intrinsic pathway involving the release of cytochrome
c from the mitochondrial intermembrane space into the cytosol.
10 15 More recently, calpains (calcium-dependent cysteine proteases)
16 have been shown to be involved in the apoptotic process and to be activated by the increase of cellular calcium concentration during apoptosis.
17 The two major isoforms, calpain 1 or μ-calpain and calpain 2 or m-calpain, are synthesized as inactive proenzyme and are activated by micromolar and millimolar Ca
2+ concentration, respectively.
18 Activated calpains can cleave a variety of key survival proteins
19 and can activate or inactivate caspases.
20 21 In addition, the leukocyte elastase inhibitor (LEI), a serine protease inhibitor or serpin, was identified in apoptosis during lens cell differentiation
22 and in retinal development.
23 It induces nuclear fragmentation after its transformation into an endonuclease DNase II.
24 LEI activation depends on pH conditions or activation of serine proteases.
25