Cell killing by pro-caspase aggregation. Caspases
are synthesized as inactive pro-enzymes. When pro-caspases are brought
into close proximity, they can self-activate through internal
proteolysis that occurs after specific aspartic acid (D) residues.
These cleavages result in the removal of an inhibitory N-terminal
domain and the formation of a small and large subunit. Two small and
two large subunits associate with each other to form the active
heterotetrameric enzyme. The activated “initiator caspase”
(caspase-In) can proteolytically process and activate additional
pro-caspase molecules, including downstream “executional
caspases” (caspase-Ex), thereby initiating a caspase cascade. The
activity of this cascade leads to the proteolysis of a variety of
specific target proteins and mediates the coordinate destruction of
organelles and macromolecules during apoptosis. The aggregation
of pro-caspases is normally regulated by adapter molecules that
interact with the prodomain, but recombinant molecules have been
constructed that can be aggregated by small, lipid-permeable
chemicals.