Apoptosis is a complex multi-step process driven by
caspase-dependent proteolytic cleavage cascades. Dysregulation of apoptosis promotes
tumorigenesis and limits the efficacy of
chemotherapy. To assess the complex interactions among
caspases during apoptosis, we disrupted
caspase-8, -9, -3, -7, or -6 and combinations thereof, using CRISPR-based genome editing in living human
leukemia cells. While loss of apical initiator
caspase-8 or -9 partially blocked extrinsic or intrinsic apoptosis, respectively, only combined loss of
caspase-3 and -7 fully inhibited both apoptotic pathways, with no discernible effect of
caspase-6 deficiency alone or in combination.
Caspase-3/7 double knockout cells exhibited almost complete inhibition of
caspase-8 or -9 activation. Furthermore, deletion of
caspase-3 and -7 decreased mitochondrial depolarization and
cytochrome c release upon apoptosis activation. Thus, activation of effector
caspase-3 or -7 sets off
explosive feedback amplification of upstream apoptotic events, which is a key feature of apoptotic signaling essential for efficient apoptotic cell death.