Table 1.
Key molecules involved in apoptosis during nonalcoholic steatohepatitis development.
Pathway | Mediator | Role |
---|---|---|
Extrinsic pathway | Death ligands (FasL, TNF-α and TRAIL) | Formation of death complexes and activation of initiator caspases |
| ||
Intrinsic pathway
| ||
Mitochondrial | Bcl-2, Bcl-xL and Mcl-1 | Antiapoptotic |
Bax and Bak | Proapoptotic | |
Bid, Bad, Bim, Noxa and PUMA | Proapoptotic (Bid mediates the crosstalk between the extrinsic and intrinsic pathways) | |
| ||
Lysosomal | Cathepsin B | Lysosomal protease that leads to mitochondrial dysfunction |
| ||
Endoplasmic reticulum | PERK and IRE-1α | Induce CHOP and JNK, which activate Bax |
CHOP: C/EBP homologous protein; FasL: Fas ligand; IRE-1α: Inositol-requiring enzyme 1α;
PUMA: p53-upregulated modulator of apoptosis; TRAIL: TNF-related apoptosis-inducing ligand.