Figure 1. Essential pathways to caspase activation and cell death.
Apoptosis is initiated by internal cellular stress or extracellularly through the binding of ligands to cell surface death receptors. Type I pathways directly activate executioner caspases through initiator caspases to result in death. In Type II pathways, death signals are routed through the Bcl-2 proteins such as Bid and the mitochondria to control the release of cytochrome c. Cytosolic cytochrome c binds Apaf-1 to activate the apoptosome and caspase-9 to result in executioner caspase-3 activation and cell death.