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REVIEW ARTICLE
Mammalian initiatorapoptotic caspases
Po-ki Ho
1,2,3
and Christine J. Hawkins
1,2,3
1 Murdoch Children’s Research Institute, Parkville, Victoria, Australia
2 Children’s Cancer Centre, Royal Children’s Hospital, Parkville, Victoria, Australia
3 Department of Paediatrics, University of Melbourne, Parkville, Victoria, Australia
It has been more than a decade since the discovery
of the interleukin-1b-converting enzyme (ICE) [1], the
first member of a family of enzymes termed caspases.
Caspases are an evolutionarily conserved family of cys-
teine proteases that are responsible for diverse cellular
functions including inflammation and apoptosis. Fea-
tures common to all members in this family of protea-
ses include the catalytic cysteine residue in the active
site and the ability to cleave substrates on the carboxyl
side of aspartate residues. Reflecting these properties,
this family of cysteine aspartases was collectively desig-
nated caspases [2].
To date, human caspases-1, -2, -3, -4, -5, -6, -7, -8,
-9, -10, -12 and -14 have been cloned, and character-
ized to varying extents [3,4]. Unambiguous murine
homologues have been identified for most of these.
However, the murine genome appears to lack clear
counterparts of human caspases-4, -5 and -10. Murine
caspase-11 is similar to human caspases-4 and -5. The
gene originally designated human caspase-13 [5] has
since been demonstrated to be a bovine gene, most clo-
sely related to human caspase-4 [6].
Caspases or caspase-like enzymes have also been
identified in nonmammalian metazoans and even other
nonmetazoans [7]. Caspase-like activities observed in
plants and some protists have been attributed to
metacaspases and paracaspases, two classes of caspase-
like proteins of ancient origin. While metacaspases
have been observed in certain bacteria, protists, fungi
and plants, paracaspases have been found in slime
moulds and animals [8]. In Saccharomyces cerevisiae,
the yeast caspase 1 (YCA1) has been associated with
yeast cell death [9]. Other caspases have been identified
in invertebrates such as the nematode Caenorhabditis
elegans (CED-3, CSP-1 and CSP-2) [10,11] and the
fruitfly Drosophila melanogaster (Dcp-1, Dronc, Drice,
Keywords
activation; apoptosis; CARD; DED; gene
knockout models; human diseases; initiator
caspases
Correspondence
C. Hawkins, Murdoch Children’s Research
Institute, Royal Children’s Hospital,
Flemington Road, Parkville, VIC 3052,
Australia
Fax: +61 3 93454993
Tel: +61 3 93455823
E-mail: chris.hawkins@mcri.edu.au
(Received 24 July 2005, accepted
12 September 2005)
doi:10.1111/j.1742-4658.2005.04966.x
Caspases are a conserved family of cysteine proteases. They play diverse
roles in inflammatory responses and apoptotic pathways. Among the casp-
ases is a subgroup whose primary function is to initiate apoptosis. Within
their long prodomains, caspases-2, -9 and -12 contain a caspase activation
and recruitment domain while caspases-8 and -10 bear death effector
domains. Activation follows the recruitment of the procaspase molecule via
the prodomain to a high molecular mass complex. Despite sharing some
common features, other aspects of the biochemistry, substrate specificity,
regulation and signaling mechanisms differ between initiator apoptotic
caspases. Defects in expression or activity of these caspases are related to
certain pathological conditions including neurodegenerative disorders, auto-
immune diseases and cancer.
Abbreviations
ALPS, autoimmune lymphoproliferative syndrome; BIR, baculoviral IAP repeat; CARD, caspase activation and recruitment domain; DD, death
domain; DED, death effector domain; FADD, Fas-associated death domain; FLICE, FADD-like ICE; FLIP, FLICE-inhibitory protein; IAP,
inhibitors of apoptosis; ICE, interleukin-1b-converting enzyme; TNF, tumor necrosis factor; TRADD, TNF-R1-associated death domain protein.
5436 FEBS Journal 272 (2005) 5436–5453 ª 2005 FEBS
Dredd ⁄ Dcp-2, Decay, Damm ⁄ Daydream and Strica ⁄
Dream) [7]. Caspases have also been recognized in
nonmammalian vertebrates including zebrafish Danio
rerio [12], frog Xenopus laevis [13] and chicken Gallus
gallus [14–16].
Categorization of caspases based on their structure,
function and substrate preference results in different
classification systems. The first method, utilizing the
structural characteristics of each caspase, places the
mammalian family members into two main categories:
long prodomain and short prodomain (Fig. 1). Casp-
ases-1, -2, -4, -5, -8, -9, -10, -11 and -12 belong to the
former category. Each has a long prodomain that
encompasses structural motifs in the death domain
superfamily including the caspase activation and
recruitment domain (CARD) or death effector domains
(DEDs). These motifs enable caspases to associate with
other proteins via homotypic interaction mechanisms.
Caspases-3, -6, -7 and -14 fall into the latter category.
These caspases bear short prodomains and are activa-
ted upon proteolytic cleavage by other caspases.
The second method of classification divides the casp-
ases into two main streams on a functional basis,
distinguishing between inflammatory and apoptotic
caspases (Fig. 1). Caspases-1, -4, -5, and -11 have been
reported to play roles in cytokine maturation and
inflammatory responses [17]. The remaining family
members are primarily involved in apoptotic signaling
pathways. These apoptoticcaspases can be further divi-
ded into ‘initiators’ (caspases-2, -8, -9, -10, -12) and
‘effectors’ (caspases-3, -6, -7, -14). Initiator caspases
function upstream within apoptotic signaling pathways.
They are capable of activating downstream caspases
(effector caspases) either directly, through proteolysis,
or indirectly via a secondary messenger mechanism.
Upon activation by an initiator caspase, effector casp-
ases are immediate ‘executioners’ of the apoptotic
program, cleaving certain cellular substrates to cause
demolition of the cell. Interestingly, these two methods
of classification yield a close structure–function rela-
tionship among the caspases: all initiator apoptotic
caspases contain a large prodomain whereas all effector
caspases have a short prodomain.
In this article, we will focus on the apoptotic human
caspases with long prodomains (capases-2, -8, -9, -10
and -12). The structural and biochemical characteris-
tics, regulation and signaling mechanisms, and func-
tional roles will be discussed.
Structural comparison
The protein–protein interaction domains CARD and
DED are members of the death domain (DD) super-
family of motifs, which play important roles in apop-
totic signaling [18]. Caspases-2, -9, and -12 contain one
CARD, whereas caspases-8 and -10 bear two DEDs
arranged in tandem in their prodomains (Fig. 2). The
CARD protein interaction motif is conserved among
multiple key apoptotic regulators such as caspases,
adaptor molecules RAIDD [19,20] and Apaf-1 [21],
and inhibitors of apoptosis c-IAP1 and c-IAP2 [22,23].
It mediates the association of interacting partners via
homodimerization through the CARD interface. The
solution structure of the RAIDD CARD motif,
obtained from NMR analysis, suggested that it consists
of six antiparallel a-helices packed in a topological
arrangement similar to that of the Fas DD [24]. More-
over, modeling of the caspase-2 CARD revealed a
structure highly similar to that of RAIDD CARD [24].
The biological significance of this domain is exemplified
by the observation that the formation of the apop-
tosome and the subsequent activation of caspase-9 rely
on the CARD–CARD interaction between procaspase-
9 and Apaf-1 [25]. The DED is structurally similar to
the CARD, in that its conserved backbone also compri-
ses six a-helices. Like CARDs, DEDs are also present
in numerous apoptotic regulatory proteins including
caspases-8 and -10, the adaptor molecule Fas-associ-
ated death domain (FADD), the antiapoptotic proteins
FADD-like ICE (FLICE)-inhibitory proteins (FLIPs)
CARD
Short Prodomain
Inflammatory
Apoptotic
1, 4, 5, 11
3, 6, 7, 14
2, 9, 12
8, 10
DED
Fig. 1. Classification of caspases. Caspases are classified based on
their prodomain structure or primary function. Caspases-1, -2, -4,
-5, -9, -11 and -12 contain a long prodomain with a caspase activa-
tion and recruitment domain (CARD). Among these CARD-contain-
ing caspases, caspase-1, -4, -5 and -11 have functions in the
inflammatory response, while caspases-2, -9 and -12 play roles in
apoptosis. Caspases-8 and -10 possess two death effector domains
(DEDs) in their prodomains, and are also apoptotic family members.
Caspases-3, -6, -7 and -14 have short prodomains and are effector
caspases in the apoptotic pathway.
P K. Ho and C. J. Hawkins Mammalianinitiatorapoptotic caspases
FEBS Journal 272 (2005) 5436–5453 ª 2005 FEBS 5437
[26], and the Bcl-XL-procaspase-8-associated protein
Bap31 [27]. The DED present in FADD links procasp-
ases-8 and -10 to the death receptors and provokes
formation of the death-inducing signaling complex
(DISC). The DED-mediated oligomerization of pro-
caspases-8 and -10 recruited to the DISC is pivotal in
their activation and autoprocessing [28–30].
Of the initiatorapoptotic caspases, the three-dimen-
sional structures of caspases-2, -8, and -9 have been
deduced by X-ray crystallography [31–33]. In general,
the functional unit of the mature caspase is a hetero-
tetramer consisting of two large and two small sub-
units. The active site cysteine resides within the large
subunit, while residues forming the S1 subsite are
derived from both large and small subunits. Caspase-2
exists as a dimer in solution: the two monomers are
covalently linked by a disulfide bridge at the dimer
interface [31]. Dimer formation is possible even in the
absence of substrate or inhibitor binding [31]. In con-
trast, caspases-8 and -9 exist predominantly as mono-
mers in solution [33,34] and dimerization occurs only
upon recruitment to complexes described below. In
comparison with other published caspase structures,
the catalytic domains in the caspase-9 dimer are atyp-
ical, in that they are nonidentical, with one catalyti-
cally intact and the other in an enzymatically
incompetent conformation [33].
Mechanism of activation
In order to exert its catalytic function, a procaspase
molecule must be activated to undergo conformational
changes and (usually) cleavage to produce its mature
form. The major mechanism that governs the activation
of initiatorcaspases is oligomerization or induced prox-
imity [35,36]. This mode of activation involves the recruit-
ment of adaptor molecules to a death complex. This is
followed by conformational changes that allow the
recruitment of procaspases to these adaptor molecules,
via domain-specific protein–protein interactions. Subse-
quent oligomerization of procaspase molecules, due to
close proximity and elevated local concentration, favors
autocatalytic processing. This mechanism is mediated
by the N-terminal CARD or DED motifs present in the
initiator procaspases-2, -8, -9, and -10. However, when
artificially induced to oligomerize by chemical means, a
caspase-8 mutant lacking the DEDs is capable of auto-
activation and causing apoptosis in transfected HEK
293 and HeLa cells [37,38], suggesting that activation
is a consequence of induced close proximity.
As mentioned above, induced proximity is preceded
by the recruitment of procaspase molecules to a high
molecular mass complex, which is formed in response
to a death stimulus. Different caspases are recruited to
different death complexes at the onset of apoptotic
signaling pathways. These complexes have been desig-
nated the ‘PIDDosome’, ‘DISC’ and ‘apoptosome’.
Caspase-2 in the PIDDosome and other
complexes
RAIDD ⁄ CRADD was first cloned and identified as
a caspase-2-interacting adaptor molecule [19,20]. A
transfection study [20] and an in vitro translation ⁄ GST
Fig. 2. Schematic representation of mam-
malian apoptoticinitiator procaspases. Casp-
ases contain a conserved consensus active
site sequence of QACXG and are expressed
as inactive zymogens, or procaspases.
Caspases with long prodomains contain
either a CARD or two DEDs in tandem.
Procaspases are proteolytically processed at
specific cleavage sites during generation of
the active enzyme. These cleavage events
remove the prodomain and separate the
enzyme proform into a large and a small
subunit. A linker peptide between these
subunits in procaspases-2 and -9 is also
removed upon cleavage. Depicted in the dia-
gram is a full-length version of human pro-
caspase-12 that carries a read-through
mutation at amino acid position 125, due to
a natural polymorphism in some Africans
[72].
Mammalian initiatorapoptoticcaspases P K. Ho and C. J. Hawkins
5438 FEBS Journal 272 (2005) 5436–5453 ª 2005 FEBS
A
B
C
Fig. 3. Caspase activation complexes. Lines in red denote molecular interactions between domains. (A) Complex formation for caspase-2. (i)
A putative complex involving caspase-2 in the TNF-R1 signaling pathway. Upon TNFa stimulation, TNF-R1 recruits the adaptor molecules
TRADD, RIP1 and RAIDD, via homotypic interactions of the death domain (DD). Procaspase-2 is linked to the signaling complex through its
CARD–CARD interaction with RAIDD [19,20]. (ii) Formation of the ‘PIDDosome’ which consists of the p53-induced protein PIDD, RAIDD and
procaspase-2 [42]. (LRR, leucine-rich region). (iii) Together with TRAF2 and RIP1, caspase-2 has also been implicated in a complex that links
it to the NF-jB pathway in a catalytic-independent manner [43]. (B) Formation of the death inducing signaling complex (DISC) via stimulation
of Fas and TNF-R1 by their respective ligands. (i) The assembly of a TNF-induced caspase activation complex follows receptor endocytosis,
internalization and subsequent dissociation of TRADD, TRAF2 and RIP1 from the receptor. TRADD then binds FADD via interactions
between their DDs, and FADD in turn recruits procaspase-8 and ⁄ or procaspase-10 through DED–DED associations. The induced proximity
forces the procaspase molecules to oligomerize and autoprocess to attain full enzymatic activity. (ii) Fas ligation triggers direct recruitment
of FADD and procaspase-8 and ⁄ or procaspase-10, provoking proximity-induced caspase activation. (C) Assembly of the apoptosome. Cytoso-
lic cytochrome c binds to and activates Apaf-1, permitting dATP binding. This alters the conformation of Apaf-1 to allow association with
procaspase-9 molecules via their CARDs. Electron cryomicroscopy and molecular modeling has revealed that the apoptosome is a heptamer-
ic arrangement of the cytochrome c-bound Apaf-1 with procaspase-9 [65].
P K. Ho and C. J. Hawkins Mammalianinitiatorapoptotic caspases
FEBS Journal 272 (2005) 5436–5453 ª 2005 FEBS 5439
pull-down approach [19] both indicated that RAIDD
and caspase-2 associate via their CARDs. This interac-
tion may link caspase-2 indirectly to receptor interact-
ing protein (RIP1), a RAIDD-binding serine ⁄ threonine
kinase that acts as a component of tumor necrosis fac-
tor (TNF) receptor signaling pathway via its interac-
tion with TRADD [19,39,40] (Fig. 3A). However,
direct evidence for a caspase-2-RAIDD-RIP1-
TRADD-TNF-R1 pathway has been elusive. Read
and coworkers reported the recruitment of caspase-2
to a large protein complex that is independent of
Apaf-1 and cytochrome c and lacks RAIDD [41]. This
provided the first evidence that caspase-2 engages in
complex formation, which could perhaps result in its
activation. Upon genotoxic stress, caspase-2 partici-
pates in another activation complex which contains the
adaptor RAIDD and the p53-related death domain-
containing protein PIDD, hence designated the
‘PIDDosome’ [42] (Fig. 3A). Lamkanfi and colleagues
subsequently postulated yet another caspase-2-contain-
ing protein complex, comprising the signal transducer
TRAF2 and RIP1 (Fig. 3A). Counter-intuitively, that
data links caspase-2 to the activation of NF-jB and
p38 MAPK in a catalytic activity-independent manner
[43], and is therefore not related to caspase-2 activa-
tion. It is possible that caspase-2 is recruited to differ-
ent large protein complexes in response to various
death stimuli, and plays differential roles in multiple
signaling pathways.
Caspase-8 and caspase-10 in the DISC
Death receptors belong to the TNF receptor super-
family. They include Fas ⁄ CD95 ⁄ Apo1, TNF-R1,
TNF-R2, DR3 ⁄ WSL-1 ⁄ TRAMP, DR4 ⁄ TRAIL-R1,
DR5 ⁄ TRAIL-R2, and DR6. These receptors are char-
acterized by the presence of a cytoplasmic death
domain (DD). The recruitment of the adaptor mole-
cule FADD to the death receptors occurs via homo-
typic interaction between their DDs [44,45] (Fig. 3B).
Recent evidence indicates that direct contact between
TRAIL receptors and FADD [46,47] involves the DD
of FADD as well as residues located in its death effec-
tor domain [48]. TNF-R1 DISC formation (Fig. 3B)
involves an extra intermediate adaptor molecule: TNF-
R1-associated death domain protein (TRADD) [49],
which is recruited to the TNF-R1 via the DD and
interacts with FADD [50]. It has been reported that
FADD and caspase-8 are not recruited to the TNF-R1
DISC upon TNFa stimulation, despite the fact that
they are crucial components of TNF-induced apoptosis
[51]. In a model proposed by Micheau and Tschopp,
TNF-R1-mediated apoptosis is induced by the forma-
tion of two sequential signaling complexes [52]. Bind-
ing of TNFa to TNF-R1 is rapidly followed by the
recruitment of TRADD, RIP1 and TRAF2, thus form-
ing complex I. During receptor endocytosis, modi-
fication of TNF-R1, TRADD and RIP1 occurs,
promoting the dissociation of TRADD, RIP1 and
TRAF2 from complex I. The dissociated TRADD and
RIP1 can then interact with FADD via its DD and
recruit procaspase-8 and ⁄ or -10 to form complex II
[52]. TNF-R1 internalization and the formation of
TNF receptosomes are critical for the recruitment of
TRADD, FADD and caspase-8 to the TNF-R1 DISC,
as shown by Schneider-Brachert et al. [53]. The associ-
ation of FADD with procaspase-8 molecules through
their DEDs leads to the oligomerization and activation
of caspase-8 [54]. Molecular modeling has indicated
that the stoichiometry of Fas, FADD and caspase-8 is
3 : 3 : 3 [55]. Proper maintenance of this stoichiometric
ratio seems to be essential for the formation of the
Fas DISC. Some autoimmune lymphoproliferative
syndrome (ALPS)-affected individuals exhibit defects
in DISC formation and failure in apoptosis due to the
expression of defective Fas chains which cannot
trimerize [56].
Caspase-10 is structurally similar to caspase-8 and
can be recruited to the DISC via FADD upon Fas or
TRAIL ligation [29,30,57,58], however, the ability of
caspase-10 to functionally replace caspase-8 is conten-
tious. Recent studies tend to suggest that it may not
be capable of functionally replacing caspase-8 unless
very high levels are expressed [29,30,57]. The substrate
specificity of caspase-10, as predicted from its cleavage
of a peptide combinatorial library, differs somewhat
from that of caspase-8 [59]. It is therefore possible that
caspase-10 possesses distinct roles relative to caspase-8,
although it should be noted that caspase-10 arose in
evolution after the divergence of mice and humans, so
it is clearly not critical for mammalian biology.
Caspase-9 in the apoptosome
The activation mechanism of caspase-9 is well docu-
mented. The assembly of an activation complex is trig-
gered by the intrinsic or mitochondrial pathway, which
is initiated upon various forms of cell stress including
the presence of the protein kinase inhibitor staurospo-
rine [60] and cytotoxic compounds such as etoposide
[61] and doxorubicin [62]. The Bcl-2 family members
control the release from the mitochondria of proapop-
totic factors including cytochrome c [63]. Cytosolic
cytochrome c and dATP (or ATP) bind to Apaf-1 to
promote its multimerization [21,64]. The conforma-
tional changes to Apaf-1 associated with this binding
Mammalian initiatorapoptoticcaspases P K. Ho and C. J. Hawkins
5440 FEBS Journal 272 (2005) 5436–5453 ª 2005 FEBS
expose the N-terminal CARD, facilitating the CARD–
CARD interaction with procaspase-9 molecules. This
yields a heptameric complex (termed the apoptosome)
composed of seven cytochrome c-bound Apaf-1 mole-
cules surrounding seven procaspase-9 molecules in the
core [65] (Fig. 3C). Alternatively, death receptor liga-
tion can initiate the extrinsic pathway, where caspase-8
becomes activated upon DISC formation. Caspase-8-
mediated proteolytic cleavage of the proapoptotic
Bcl-2 family member Bid enables the translocation of
the truncated Bid to the mitochondria and the subse-
quent leakage of cytochrome c into the cytosol. This
pathway acts as an amplification loop for the apopto-
some formation and therefore caspase-9 activation.
Caspase-9 activity is weak in the absence of Apaf-1
[66], so it is likely that the primary function of the ap-
optosome is to enhance the allosteric conformation of
the caspase-9 zymogen rather than to drive its matur-
ation by cleavage. In fact, Rodriguez and Lazebnik
showed that the Apaf-1 ⁄ caspase-9 complex acts as a
holoenzyme to mediate the cleavage and activation of
procaspase-3 [66]. In agreement with this observation,
Stennick et al. generated procaspase-9 mutants harbor-
ing mutations at cleavage sites and demonstrated their
abilities to activate downstream caspases in the pres-
ence of Apaf-1 and cytochrome c [67]. In a recent
report, Chao et al. contrasted engineered dimeric
caspase-9 with apoptosome-activated caspase-9 and
found a 35-fold difference in catalytic activities
between the two [68]. This suggests that a unique con-
formational change in caspase-9 induced upon binding
to the apoptosome contributed to its higher activity
which cannot be achieved by dimerization alone [68].
Caspase-12 activation
Formation of a high molecular mass complex has not
been reported for caspase-12. In mouse glial cells
undergoing endoplasmic reticulum (ER) stress,
caspase-12 zymogen cleavage is calpain-dependent [69].
The calpain-cleaved caspase-12 then autoactivates to
produce the mature heterotetramer. It has also been
shown that cleavage and activation of caspase-12 in
cisplatin-induced apoptosis of porcine renal tubular
epithelial cells is a result of the oxidative stress caused
by the interaction of cisplatin and the cytochrome
P450 system in the ER [70]. In humans, however,
caspase-12 has been dubbed ‘pseudo-caspase-12’ in a
recent review [4], as it contains coding sequence aber-
rations that prevent the translation of the putative
full-length enzyme [71]. This argues against the exist-
ence of a functional caspase-12 in humans and its
hypothesized physiological roles in ER stress response.
Interestingly, it has subsequently been reported that
caspase-12 is naturally polymorphic and is expressed
in its full-length form in 20% of people of African
descent [72]. Individuals expressing full-length caspase-
12 are more susceptible to sepsis as a result of attenu-
ated inflammatory and innate immune response to
endotoxins [72]. These observations suggest that
caspase-12 may have dual roles in apoptotic and
inflammatory functions, which may also be species-
dependent.
Substrate specificity
Synthetic peptide substrates
As mentioned above, caspases can be classified based
on their substrate preferences. Studies conducted by
Thornberry et al. in which the substrate specificities of
caspase family members were investigated using a
novel combinatorial library approach, defined three
major groups of caspases [59,73]. This positional scan-
ning technique uses fluorogenically labeled synthetic
tetrapeptides in different amino acid combinations.
The differential preference for the P4-P2 residues
strongly influences target specificities. Caspase-2, like
effector caspases-3 and -7, has a strict requirement for
Asp in P4. On the contrary, caspases-8, -9 and -10 pre-
fer a branched chain aliphatic amino acid in P4, which
is similar to caspase-6. Another study, performed by
Talanian et al. presented strong evidence that the opti-
mal minimal substrate sequence for caspase-2 includes
a residue in the P5 position (preferably a hydrophobic
amino acid) [74]. The substrate specificity of caspases-
12 has not yet been deduced in a similar experimental
context. Thornberry and colleagues proposed that the
similarities between the optimal tetrapeptide cleavage
sequence and the sequences linking the subunits in
some caspases (including caspases-2, -8 and -9) may
reflect their autocatalytic capabilities [73]. The short
peptide screening technique was a highly innovative
approach for the discovery of caspase substrates and
inhibitors, and identification of preferred peptide
sequences has facilitated the development of in vitro
caspase activity assays. However, while this technique
provided a snapshot of preferred substrate cleavage
sequences for individual caspases, it cannot conclu-
sively determine the suitability of a natural cellular
protein as a substrate. The synthetic peptides are small
in size and are readily accessible to caspases. On the
contrary, cellular proteins are relatively large in size
and their caspase cleavage recognition sequence can be
buried as a result of natural folding. This limitation in
accessibility could mean that a protein bearing the
P K. Ho and C. J. Hawkins Mammalianinitiatorapoptotic caspases
FEBS Journal 272 (2005) 5436–5453 ª 2005 FEBS 5441
optimal cleavage sequence may not necessarily be a
caspase target in vivo.
Natural cellular substrates
During apoptosis, a vast variety of cellular proteins
undergo proteolytic cleavage by caspases. Effector
caspases cleave numerous proteins, including some that
are responsible for the structural integrity of the cell.
Other proteins, including those that have more indirect
roles in the cellular morphology and metabolic architec-
ture, are cleaved by initiator caspases. A caspase sub-
strate can be functionally activated or inactivated upon
cleavage. Conforming to their roles as initiator caspas-
es, caspases-2, -8, -9, -10 and -12 can proteolytically
activate effector caspases-3 or -7 [21,75–78]. These casp-
ases also target other cellular proteins that play import-
ant structural or signaling roles in the cell. For
example, during apoptosis caspase-2 cleaves the Golgi-
specific protein golgin-160, which controls the integrity
of the Golgi complex [79]. The structural protein aII-
spectrin is also a caspase-2 substrate, whose cleavage
can destabilize the scaffolding of the membrane cyto-
skeleton [80]. More recently, the caspase-2-mediated
cleavage of huntingtin has been implicated in patholo-
gical neuronal cell death [81]. Caspases-8 and -9 cleave
structural proteins plectin [82] and vimentin [83],
respectively, in cells undergoing apoptosis. The pro-
apoptotic Bcl-2 family member Bid is the most notable
among various caspase-8 substrates. It becomes activa-
ted upon cleavage by caspase-8 and then causes the mito-
chondrial release of cytochrome c which forms part of
the apoptosome [84,85]. Cleavage of another caspase-8
substrate, RIP1, leads to its inactivation, blocking the
NF-jB-mediated survival signals in Fas-induced apop-
tosis [17].
Regulation
Because caspases play vital roles in apoptotic initi-
ation, their expression and activation must be tightly
regulated to maintain the homeostatic balance between
apoptosis and survival. This is achieved by different
mechanisms which exert control at various checkpoints
within the cell.
Transcriptional regulation
While most caspases are constitutively expressed, some
are transcriptionally regulated in particular contexts.
The caspase-8 promoter contains Sp1 and ETS-like
motifs that control basal expression [86,87]. The pres-
ence of an interferon-stimulated response element
(ISRE) and p53-responsive site enables caspase-8 up-
regulation by interferon-c and p53, respectively [86–
88]. Methylation of a region within the 5¢ untranslated
portion of the gene has been associated with the
down-regulation of caspase-8 expression in some
tumor cells [89–96]. Unlike caspase-8, caspase-10
expression is predominantly regulated by post-tran-
scriptional mechanisms. Expression of caspase-10 was
frequently detected at the mRNA level but rarely at
the protein level in various cancer cell lines [29,95].
The lack of caspase-10 expression in these cell lines
results from post-transcriptional down-regulation [29].
In caspase-2-deficient mice, caspase-9 was transcrip-
tionally up-regulated to provide a possible compensa-
tory effect in the absence of caspase-2 [97]. A three-
fold increase in caspase-9 mRNA and protein expres-
sion was detected in caspase-2-null brains and cultured
sympathetic neurons [97]. An analysis of the 5¢ region
of the human CASP2 gene reveals that the transcripts
of the two isoforms caspase-2L and caspase-2S are
expressed from separate promoter regions of different
strengths and the expression is initiated from differen-
tial translational start sites [98]. The proximal 5¢-flank-
ing region of rat CASP9 gene has no TATA-box,
but contains GC-boxes and a hypoxia-inducible factor
1-binding site [99]. The presence of this cis-acting ele-
ment allows the up-regulation of caspase-9 during hyp-
oxia [99]. The transcriptional regulatory elements of
the murine CASP12 gene have also been examined.
The promoter region lacks a TATA-box, CAAT-box,
or GC-box but contains a number of putative binding
sites for transcription factors including AP1, Oct -1,
Sp1 and NF-jB [100].
Alternative splicing
Some caspases express multiple splice variants in a tis-
sue- or cell line-specific manner. While some splice vari-
ants encode the wild-type active species, the predicted
translation products of others would lack residues essen-
tial for enzymatic activity and may theoretically either
act as dominant negatives in the caspase recruitment
process or be nonfunctional. It should be noted that
some of these splice variants have only been detected
at the mRNA but not protein level. Functions of these
splice variants have not been studied in detail and most
data were obtained by ectopic overexpression.
Four caspase-2 splice variants have been identified in
humans and two reported in rats [101–103]. Of the four
human splice variants, only the wild-type caspase-2L
encodes an active enzyme. This is the major isoform
whose protein product has been detected in most tis-
sues. The alternatively spliced caspase-2S includes exon
Mammalian initiatorapoptoticcaspases P K. Ho and C. J. Hawkins
5442 FEBS Journal 272 (2005) 5436–5453 ª 2005 FEBS
9 but lacks the sequence corresponding to the small
subunit in the transcript. It has been shown to inhibit
apoptosis when overexpressed in cultured cells [101].
Although a small form of caspase-2 has been detected
by immunoblotting, it is unclear whether this repre-
sents caspase-2S or a cleavage product [104]. Thus the
existence of the putative translation product of casp-
ase-2S has still not been confirmed. Another splice vari-
ant, casp-2L-Pro, was detected as a truncated protein
in several cell lines and was also reported to act as a
negative apoptotic regulator. However, the expression
of a shorter variant casp-2S-Pro has not yet been detec-
ted and its function has yet to be established [102].
The alternative splicing in caspase-8 has resulted in
10 transcriptionally detectable isoforms, caspase-8 ⁄ a-h,
and the two lesser known isoforms procaspase-8L and
caspase-8L [105–107]. Caspase-8 ⁄ a and caspase-8 ⁄ b are
the two functionally active isoforms that are predomin-
antly expressed at the protein level [105]. Procaspase-
8L is a version of caspase-8 ⁄ a containing an N-terminal
extension domain that is required for the association
with the BAP31 complex. The procaspase-8L protein
was detected in various tissues, particularly abundant
in the thymus and lung [106]. Expression of the ca-
spase-8L protein was detectable in peripheral blood
lymphocytes and it has been proposed to act as an
endogenous inhibitor of caspase-8 [107]. The expres-
sion, physiological functions and biological significance
of caspase-8 ⁄ c-h, however, are poorly understood.
Phylogenetic divergence has given rise to four cas-
pase-9 alternative transcripts that differ between
humans and mice. The human caspase-9b isoform
lacks the central large subunit and can block the for-
mation of the apoptosome and caspase-9-mediated
apoptotic events [108,109]. The alternative murine
transcript caspase-9S was demonstrated to be inactive
upon overexpression compared with the predominantly
expressed wild-type caspase-9L [110].
Four caspase-10 isoforms have been identified.
Caspase-10 ⁄ a,b,d [77,111,112] are proteolytically com-
petent. Caspase-10 ⁄ c, though catalytically inactive, is
capable of inducing cell death in vivo [112].
Nine alternatively spliced human caspase-12 tran-
scripts were reported by Fischer et al., in which the
presence of a premature stop codon prevents the trans-
lation of a full-length protein [71]. However, a poly-
morphism yields the full-length form of caspase-12 in
one-fifth of ethnic Africans [72].
Caspase inhibition
Once expressed, caspases can be inhibited by other cel-
lular proteins. One mechanism of caspase inhibition is
via the inhibitors of apoptosis (IAPs). IAP-like proteins
are encoded by many eukaryotic genomes including
those of Drosophila (DIAP-1 and -2) and mammals
(XIAP ⁄ MIHA ⁄ hILP ⁄ BIRC4, cIAP-1 ⁄ MIHB ⁄ HIAP2 ⁄
BIRC2, cIAP-2 ⁄ MIHC ⁄ HIAP1 ⁄ BIRC3, NAIP ⁄ BIRC1,
survivin ⁄ BIRC5, LIVIN ⁄ ML-IAP ⁄ KIAP ⁄ BIRC7, ILP-
2 ⁄ BIRC8, BRUCE ⁄ Apollon ⁄ BIRC6). These proteins
are characterized by the presence of one to three baculo-
viral IAP repeats (BIR) and, in some, a RING-finger
motif at the C-terminus [113]. Survivin is a structurally
distinct member of the IAPs [114]. It contains a BIR
domain but its primary function appears to be cell cycle
control rather than apoptosis inhibition [115,116]. The
effector caspases-3 and -7 and the initiator caspase-9
are targets of IAPs [117,118]. In contrast, caspases-1, -2,
-6, -8 and -10 are immune to inhibition by XIAP,
c-IAP1 and c-IAP2 [75,117,119]. IAP-mediated inhibi-
tion mechanisms differ between effector and initiator
caspases [120,121]. The inhibition of caspases-3 and -7
by XIAP requires the linker between BIR1 and BIR2
whereas its inhibition of caspase-9 is mediated through
BIR3 [121,122]. Regulation of caspase-9 activity can
also be achieved by the release of mitochondrial pro-
teins Smac ⁄ DIABLO [123] and HtrA2 ⁄ Omi [124,125]
which antagonize IAP inhibition by competitively bind-
ing to the BIR3 and displacing the bound caspase-9
molecule [123,126,127]. More recently, it has become
apparent that ubiqutin-mediated degradation is
involved in the regulation of IAPs and proteins with
which they interact [128]. c-IAP2 has been reported to
promote the ubiquitination of caspases-3 and -7 [129]
while the degradation and regulation of Smac ⁄ DIABLO
and caspase-9 can be facilitated by the ubiquitination
mediated by BRUCE ⁄ Apollon [130,131] and XIAP
[132].
Caspase-8 activity can be regulated by a family of
proteins called FADD-like ICE (FLICE)-inhibitory
proteins (FLIPs). v-FLIPs were identified in several
c-herpes viruses [133]. They possess antiapoptotic abil-
ities which enable them to evade host antiviral apop-
totic responses. Sequence analysis revealed that
v-FLIPs contain two DEDs in their N-termini and
share considerable homology with caspase-8. Further
observations indicated that v-FLIPs are capable of
binding to FADD and caspase-8 via homotypic inter-
actions. This binding blocks the recruitment of cas-
pase-8 to the DISC and hence prevents caspase-8
activation [133–135]. A cellular homologue of the
v-FLIPs was subsequently identified and designated
c-FLIP [26], also known as CASH ⁄ CASPER ⁄ CLARP ⁄
FLAME-1 ⁄ I-FLICE ⁄ MRIT ⁄ Usurpin [136–142]. Alter-
native splicing produces two variants of different
lengths, c-FLIP
L
and c-FLIP
S
, both of which are
P K. Ho and C. J. Hawkins Mammalianinitiatorapoptotic caspases
FEBS Journal 272 (2005) 5436–5453 ª 2005 FEBS 5443
expressed at the protein level. The short form is struc-
turally and functionally similar to v-FLIP. It has a
short half life, due to its destabilizing carboxyl-ter-
minal tail, which prompts ubiquitin-mediated degrada-
tion [143]. The more stable long form contains two
DEDs and a caspase-8-like region that encompasses an
inactive proteolytic site. Experimental evidence from
independent studies suggested that c-FLIP
L
possesses
dual capabilities in the regulation of DISC-mediated
apoptosis. Some studies reported the antiapoptotic
activities of c-FLIP
L
[26,139,140] while others demon-
strated its proapoptotic functions [137,138,141]. The
differential functionalities seem to be concentration-
dependent [144]. According to this paradigm, low
c-FLIP
L
expression promotes apoptosis by enhancing
caspase-8 activation, through heterodimerization with
procaspase-8 molecules [145,146]. In contrast, high lev-
els of c-FLIP
L
compete with caspase-8 for the recruit-
ment to the DISC, leading to the inhibition of
apoptosis [144,147].
Functional studies
Knockout mouse models
Gene knockout mouse models have provided valuable
information regarding the roles of individual compo-
nents in the apoptotic pathway. A number of knock-
out mouse models has been established, including
those of adaptor molecules Apaf-1 [148,149], FADD
[150,151], RIP1 [152], RAIDD [153], effector and initi-
ator caspases.
Caspase-2-deleted mice generated by Bergeron and
colleagues [154] were grossly normal compared with
wild-type mice. Deficiency in caspase-2 appeared to be
nonlethal and these caspase-2
– ⁄ –
mice survived to
adulthood. The females showed normal fertility despite
an increased number of germ cells relative to normal
mice [154]. Thymocytes derived from these mice were
sensitive to various cell death triggers including FasL
stimulation, dexamethasone treatment and c-irradi-
ation [104,154]. Caspase-2-deficient dorsal root ganglia
neurons also underwent factor-withdrawal-induced cell
death like their wild-type counterparts [104]. This sug-
gests that caspase-2 is dispensable for normally occur-
ring cell death but may play a role in gametogenesis.
Interestingly, Troy et al. detected increased caspase-9
expression in caspase-2-deficient neurons, implying that
caspase-9 may play a compensatory role in the absence
of caspase-2 [97].
Caspase-9-deficiency causes embryonic or postnatal
lethality [155,156], although the severity of this pheno-
type is strain-dependent [157]. Analyses of the embryos
revealed the brain was the most profoundly affected
organ. Hyperplasia and enlarged proliferation zones in
the brain occurred as a result of decreased apoptosis,
and caused the malformation of the brain. Hence it
appears that caspase-9 plays an important role in brain
development. The embryonic stem cells and embryonic
fibroblasts derived from caspase-9-null mice are resist-
ant to a number of apoptotic stimuli including UV
and c-irradiation [156]. Caspase-3
– ⁄ –
mice exhibit
similar phenotypes to the caspase-9- null animals
[156,158], consistent with the notion that these casp-
ases participate in the same or a similar pathway. In
fact, caspase-3 processing was abolished in caspase-9-
null brain tissue and lysates extracted from the thymo-
cytes and could be restored by the addition of in vitro
translated caspase-9 to the lysates [155]. These obser-
vations directly suggest that, in this cellular context,
caspase-3 activation is a consequence of caspase-9
activity. Data by Zheng et al. demonstrated caspase-2-
dependent activation of caspase-6 in caspase-9-deficient
hepatocytes upon antibody-mediated Fas oligomeriza-
tion, suggesting the possible compensatory role played
by caspase-2 in the absence of caspase-9 [159]. Mature
B cells, T cells and T lymphoblasts derived from the
caspase-2
– ⁄ –
9
– ⁄ –
double knockout mice generated by
Marsden and colleagues displayed normal sensitivity
towards a variety of apoptotic stimuli including cyto-
kine withdrawal and dexamethasone [160]. The appar-
ent discrepancies in the sensitivities towards apoptotic
stimuli between caspase-9 single knockout and
caspase-2
– ⁄ –
9
– ⁄ –
double knockout mice may be recon-
ciled by the fact that different cell types were exam-
ined. The sensitivity exhibited by caspase-2
– ⁄ –
9
– ⁄ –
lymphocytes prompts the hypothesis that cell death
can proceed via a third mechanism that is independent
of caspases-2 and -9.
Caspase-8 ablation is embryonically lethal, with
embryos displaying a reduction in size, impaired heart
development and abnormal accumulation of erythro-
cytes in the trunk area at E11.5 and E12.5 [161]. Inter-
estingly, these dramatic consequences of caspase-8
deficiency result from a proliferation defect which
appears to be unrelated to the role played by caspase-8
in death receptor signaling. Caspase-8 deletion in par-
ticular organs and tissues demonstrated the expected
resistance to death ligand-induced apoptosis [161–163].
However, cell death induced by other death stimuli
including ultraviolet irradiation, cytotoxic drugs, vesic-
ular stomatitis virus infection and serum deprivation
were unaffected by the absence of caspase-8 [161].
Human individuals whose CASP8 gene was homozy-
gously inactivated manifested defective lymphocyte
apoptosis and homeostasis [164]. Caspase-8 thus plays
Mammalian initiatorapoptoticcaspases P K. Ho and C. J. Hawkins
5444 FEBS Journal 272 (2005) 5436–5453 ª 2005 FEBS
a nonredundant role in normal embryonic devel-
opment, lymphocyte activation and death receptor-
mediated apoptosis, but is dispensable for intrinsic
apoptotic pathways.
Mice lacking caspase-12 were developmentally
normal and phenotypically indistinguishable from
wild-type littermates [165]. Caspase-12-null cells were
resistant to ER stress-induced apoptosis, but sensitive
to selected death stimuli. For example, caspase-12
– ⁄ –
cortical neurons underwent apoptosis induced by sta-
urosporine and trophic factor deprivation, but were
defective with regard to stimulation by amyloid-b pro-
tein [165]. Embryonic fibroblasts derived from these
mice were partially resistant to apoptosis induced by
brefeldin A, tunicamycin and thapsigargin, but not to
staurosporin, FasL or TNFa [165]. This indicates that
caspase-12 is specifically involved in certain stress
response pathways. The partial protection against
apoptosis also suggests that while caspase-12 is import-
ant in ER stress response, it is not the sole apoptotic
initiation factor. Arguing against a critical role for cas-
pase-12 enzymatic activity in mammalian biology, the
human gene encodes a catalytically inactive protein
[71].
Pathogenesis
Excessive or inadequate apoptosis can lead to the
development of pathological conditions. Numerous
diseases have been attributed to apoptotic machinery
malfunction. Altered expression and ⁄ or activity of
pathway components including receptors, ligands,
adaptors, caspases and substrates contribute to several
neurodegenerative diseases, some types of autoimmune
disorder and cancer. Alzheimer’s disease, Parkinson’s
disease and Huntington’s disease are associated with
excessive cell death involving defective regulation of
caspase activity. Increased activities of caspases-8 and
-9 have been observed in brain tissues [166–168] and
peripheral blood mononuclear cells of Alzheimer’s dis-
ease patients [169]. The neurotoxicity caused by the
deposition of the pathological amyloid-b peptide could
induce apoptosis and neuronal loss [170], possibly
mediated by these initiator caspases. Moreover, neu-
rons deficient in caspases-2 and -12 were found to have
reduced susceptibility to amyloid-b toxicity in murine
models, suggesting these two caspases may also play a
role in the neuronal cell death signaling pathway
[165,171]. The activities of caspases-8 and -9 were
reported to be elevated in brain tissue from Parkin-
son’s disease patients [172,173]. Huntington’s disease,
another neurodegenerative disorder, is caused by the
abnormal expansion of polyglutamine repeats in the
huntingtin protein, which recruits and activates
caspase-8 [174]. The polyglutamine-induced caspase-8
aggregation is reminiscent of the ‘proximity model’,
however, this is independent of receptor ligation.
Caspase-10 has also been proposed to play a role in
the pathological development of Huntington’s disease
in a fashion similar to that of caspase-8 [175].
Recently, the involvement of caspase-2 in the onset of
neuronal cell death in this disease has been recognized.
Polyglutamine-induced recruitment brings caspase-2
into close proximity to huntingtin and facilitates the
generation of the neurotoxic cleavage product [81].
Inadequate apoptosis can lead to the onset of other
diseases. ALPS, which comprises five subtypes, is char-
acterized by nonmalignant lymphadenopathies. An
examination of two unrelated ALPS II patients
revealed that independent single substitution mutations
in the caspase-10 gene led to amino acid changes in
the catalytic subunit which resulted in decreased enzy-
matic activity, impairing sensitivity to death receptor-
mediated apoptosis [176]. Interestingly, one of these
mutations has been detected in the heterozygous state
at a high frequency in the Danish population [177],
prompting debate about whether this phenomenon rep-
resents genetic polymorphism or the real cause of the
disease.
An immunological condition due to hereditary
caspase-8 deficiency has been described by Chun et al.
[164]. This condition is characterized by defective
death receptor signaling and activation of T lympho-
cytes, B lymphocytes and natural killer cells, and leads
to immunodeficiency. Affected individuals carry homo-
zygous CASP8 alleles encoding an R248W substitu-
tion. This mutation renders the caspase-8 protein
unstable and dramatically reduces its enzymatic
activity.
Caspase-8 has also been linked to neuroblastoma, a
tumor of the peripheral nervous system most com-
monly affecting children. Lack of caspase-8 expression
due to methylation-induced silencing of CASP8 gene
was observed in 63% of high grade neuroblastomas
[89]. Low caspase-8 levels have also been reported in
other tumors including medulloblastoma [90,178],
small cell lung carcinomas [91,179] and bronchial car-
cinoids [91]. We have recently reported low caspase-8
expression in many ex vivo gliomas. Neither CASP8
gene methylation status nor transcription factor
STAT-1 expression level correlated with caspase-8
expression in glioma cells [180], suggesting caspase-8
expression in these gliomas may employ a regulatory
mechanism that is different from other types of tumors
[181,182]. Deletion of the CASP8 gene was found
in one lung tumor [91] and one neuroblastoma [89].
P K. Ho and C. J. Hawkins Mammalianinitiatorapoptotic caspases
FEBS Journal 272 (2005) 5436–5453 ª 2005 FEBS 5445
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pathways. These apoptotic caspases can be further divi-
ded into ‘initiators’ (caspases- 2, -8, -9, -10, -12) and
‘effectors’ (caspases- 3,. -7, -14). Initiator caspases
function upstream within apoptotic signaling pathways.
They are capable of activating downstream caspases
(effector caspases)