Tumour necrosis factor-related apoptosis-inducing ligand has an intricate receptor system comprising

four distinct membrane receptors, designated TRAIL-R1, TRAIL-R2, TRAIL-R3 and TRAIL-R4. Of these receptors, only TRAIL-R1 and TRAIL-2 transmit the apoptotic signal. These two receptors belong to a subgroup of the TNF receptor family, the so-called death receptors, and contain the hallmark intracellular death domain (DD). This DD is critical for apoptotic signalling by death receptors. Tumour necrosis factor-related apoptosis-inducing ligand activates the extrinsic pathway of apoptosis by binding to TRAIL-R1 and/or CT99021 TRAIL-R2 (Figure 1), whereupon the adaptor protein Fas-associated

death domain and initiator caspase-8 are recruited to the DD of these receptors. Assembly of this so-called death-inducing signalling complex leads to the sequential activation of initiator and effector caspases, and ultimately results in apoptotic cell death. In certain cells, the execution of apoptosis by TRAIL further relies on an amplification loop via the intrinsic mitochondrial pathway of apoptosis. The mitochondrial pathway of apoptosis is a stress-activated pathway, e.g. upon radiation, and hinges on the depolarization of the mitochondria, leading to release of Obeticholic Acid supplier a variety of pro-apoptotic factors into the cytosol (Figure 2). Ultimately, this also triggers effector caspase activation and apoptotic cell death. This mitochondrial release of pro-apoptotic factors is tightly controlled by the Bcl-2 family of pro- and anti-apoptotic proteins [14]. In the case of TRAIL receptor signalling the Bcl-2 homology (BH3) only protein Bid is cleaved into a truncated form (tBid) by active caspase-8. Truncated Bid subsequently activates the mitochondrial pathway. TRAIL-R3 is a glycosylphosphatidylinositol-linked

receptor that lacks an intracellular domain, whereas TRAIL-R4 only Digestive enzyme has a truncated and non-functional DD. The latter two receptors are thought to function as decoy receptors that modulate TRAIL sensitivity; however, the mechanism underlying this decoy function is not yet elucidated. Evidence suggests that TRAIL-R3 binds and sequesters TRAIL in lipid membrane microdomains. TRAIL-R4 appears to form heterotrimers with TRAIL-R2, whereby TRAIL-R2-mediated apoptotic signalling is disrupted. TRAIL-R4 might activate nuclear factor kappa B, although conflicting evidence concerning activation of nuclear factor kappa B exists [15,16]. Of note, TRAIL also interacts with the soluble protein osteoprotegerin, although the exact consequence of this interaction remains to be clarified.