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52    Part I  Molecular and Cellular Basis of Hematology


                                                                                           Plasma
                       Extracellular space                                                 membrane

                       Cytosol             Regulated     Constitutive
                                        7  secretion   6  secretion   9  Endocytosis
                                                    Secretory                          Endocytic
                                                     vesicle                            vesicle
                                                                       Sorting to
                                                                    8
                                                                       lysosomes

                                    Trans-Golgi                                        Late endosome
                                      network                        Transport
                                                                      vesicle




                                                                                          Lysosome
                                     Trans-


                        Golgi stack  Medial-
                                                                           Retrograde transport from later
                                          Cisternal progression  4       5  to earlier Golgi cisternae
                                      Cis-




                                     ERGIC
                                                                               Retrograde Golgi-to-ER
                                                                            3
                                               Budding and fusion of           transport
                                             2  ER-to-Golgi vesicles
                                               to form cis-Golgi


                                            ER lumen
                                 Rough ER


                                                                 Protein synthesis on bound ribosomes:
                                                              1  cotranslational  transport of proteins into
                                                                 or across ER membrane
                        Fig. 5.4  PROTEIN TRAFFICKING THROUGH THE SECRETORY PATHWAY. The figure depicts the
                        secretory pathway starting from the endoplasmic reticulum (ER) (1) to the plasma membrane. Anterograde
                        ER-Golgi intermediate compartment (ERGIC) and retrograde ERGIC-ER transport are shown (2 and 3). The
                        transit through the Golgi apparatus is represented according to the cisternae progression and maturation model
                        described in the text (4 and 5). In the trans-Golgi the constitutive secretory pathway (6) and the regulated
                        secretory pathway (7) separate. In specialized secretory cells, selected proteins are sorted from the trans-Golgi
                        and diverted to secretory vesicles where proteins are stored until an extracellular signal triggers their fusion
                        with the plasma membrane and release of the content in the extracellular space (regulated exocytosis). In
                        addition, at the trans-Golgi proteins destined to the lysosome are sorted and delivered to the organelle through
                        vesicles (8). The endocytotic pathway (9) mediates the internalization of membrane or soluble extracellular
                        proteins and their targeting to the lysosome or the recycling of some proteins to the cell surface (not shown
                        in the figure).


        PROCESSING OF PROTEINS IN THE ENDOPLASMIC             start to fold cotranslationally by interaction with a host of chaperones,
                                                              among which is the Hsp70 family member BiP. In addition, there are
        RETICULUM                                             folding catalysts that increase the rate of protein folding. For example,
                                                              the proper pairing and formation of disulfide bonds is catalyzed by
        Protein Folding in the Lumen of the ER                oxidoreductases, such as protein disulfide isomerase (PDI), that also
                                                              shuffle nonnative disulfide bonds. In the current model, the oxidation
        Protein chaperones facilitate protein folding in the ER, but amino   of two thiols produces a disulfide bond (S–S) in the substrate protein
        acid  posttranslational  modifications  such  as  asparagine(N)-linked-  and concomitantly reduces two thiols within PDI which return to
        glycosylation and disulfide bond formation are also involved. Proteins   the oxidized state by another thiol-disulfide exchange catalyzed by
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