Evidence map›Paper›PMID 31551537›Full record

ArticleCell research2019

BH3-only proteins target BCL-xL/MCL-1, not BAX/BAK, to initiate apoptosis.

Kai Huang, Katelyn L O'Neill, Jian Li, Wei Zhou, Na Han, Xiaming Pang, Wei Wu, Lucas Struble, Gloria Borgstahl, Zhaorui Liu and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Cell research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed
5.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 133 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Saga of MCL1 inhibitors in multiple myeloma.Biochemical pharmacology · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Exploring Molecular Pathways in Exercise-Induced Recovery from Traumatic Brain Injury.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Review
  13. Programmed cardiomyocyte death in myocardial infarction.Apoptosis : an international journal on programmed cell death · 2025
    Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Hexokinase 2 promotes tumor development and progression.American journal of cancer research · 2025
    Review
  20. Article

4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 2 countries.

Kai Huang *Eppley Institute for Research in Cancer and Allied Diseases, Fred & Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, NE, 68198-7696, USA.
Katelyn L O'Neill *Eppley Institute for Research in Cancer and Allied Diseases, Fred & Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, NE, 68198-7696, USA.
Jian LiEppley Institute for Research in Cancer and Allied Diseases, Fred & Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, NE, 68198-7696, USA.
Wei ZhouEppley Institute for Research in Cancer and Allied Diseases, Fred & Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, NE, 68198-7696, USA.
Na HanEppley Institute for Research in Cancer and Allied Diseases, Fred & Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, NE, 68198-7696, USA.
Xiaming PangEppley Institute for Research in Cancer and Allied Diseases, Fred & Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, NE, 68198-7696, USA.
Wei WuEppley Institute for Research in Cancer and Allied Diseases, Fred & Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, NE, 68198-7696, USA.
Lucas StrubleEppley Institute for Research in Cancer and Allied Diseases, Fred & Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, NE, 68198-7696, USA.
Gloria BorgstahlEppley Institute for Research in Cancer and Allied Diseases, Fred & Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, NE, 68198-7696, USA.
Zhaorui LiuEppley Institute for Research in Cancer and Allied Diseases, Fred & Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, NE, 68198-7696, USA.
Liqiang ZhangEppley Institute for Research in Cancer and Allied Diseases, Fred & Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, NE, 68198-7696, USA.
Xu LuoEppley Institute for Research in Cancer and Allied Diseases, Fred & Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, NE, 68198-7696, USA. xuluo@unmc.edu.
University of Nebraska Medical Center · USWuhan University · CNNebraska Medical Center · USSecond Affiliated Hospital of Zhengzhou University · CNShandong University · CN

Funding

SUPPRESSIVE ROLE OF TGFBETA IN METASTASIS OF COLON CANCERP20RR018759 · NCRR · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI WAHL, JAMES K · 2003 to 2011
$17.9M
Nebraska Center for Cellular SignalingP20GM103489 · NIGMS · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI JOHNSON, KEITH R · 2012 to 2012
$2.0M
Mechanisms of Bax ActivationR01GM076237 · NIGMS · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI LUO, XU · 2006 to 2010
$1.3M
Mechanism of Bax/Bak Activation During ApoptosisR01GM118437 · NIGMS · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI LUO, XU · 2017 to 2020
$1.3M
Bax/Bak activation without direct activator BH3-only proteins in cancer cellsR03CA205496 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI LUO, XU · 2017 to 2018
$151k
NCI NIH HHS R03 CA205496NCRR NIH HHS P20 RR018759NIGMS NIH HHS P20 GM103489NIGMS NIH HHS R01 GM076237NIGMS NIH HHS R01 GM118437
6 · The paper itself

Abstract

It has been widely accepted that mitochondria-dependent apoptosis initiates when select BH3-only proteins (BID, BIM, etc.) directly engage and allosterically activate effector proteins BAX/BAK. Here, through reconstitution of cells lacking all eight pro-apoptotic BH3-only proteins, we demonstrate that all BH3-only proteins primarily target the anti-apoptotic BCL-2 proteins BCL-xL/MCL-1, whose simultaneous suppression enables membrane-mediated spontaneous activation of BAX/BAK. BH3-only proteins' apoptotic activities correlate with affinities for BCL-xL/MCL-1 instead of abilities to directly activate BAX/BAK. Further, BID and BIM do not distinguish BAX from BAK or accelerate BAX/BAK activation following inactivation of BCL-xL/MCL-1. Remarkably, death ligand-induced apoptosis in cells lacking BH3-only proteins and MCL-1 is fully restored by BID mutants capable of neutralizing BCL-xL, but not direct activation of BAX/BAK. Taken together, our findings provide a "Membrane-mediated Permissive" model, in which the BH3-only proteins only indirectly activate BAX/BAK by neutralizing the anti-apoptotic BCL-2 proteins, and thus allowing BAX/BAK to undergo unimpeded, spontaneous activation in the mitochondrial outer membrane milieu, leading to apoptosis initiation.

Indexed as

Apoptosisbcl-2 Homologous Antagonist-Killer ProteinBcl-2-Like Protein 11bcl-X ProteinBH3 Interacting Domain Death Agonist ProteinHCT116 CellsHEK293 CellsHumansMitochondriaMitochondrial MembranesMyeloid Cell Leukemia Sequence 1 ProteinProto-Oncogene Proteins c-bcl-2BAK1 protein, humanbcl-2 Homologous Antagonist-Killer ProteinBCL2L1 protein, humanBcl-2-Like Protein 11BCL2 protein, humanbcl-X ProteinBH3 Interacting Domain Death Agonist ProteinBID protein, humanMCL1 protein, humanMyeloid Cell Leukemia Sequence 1 ProteinProto-Oncogene Proteins c-bcl-2

Identifiers

PMID31551537
PMCPMC6888900
OpenAlexW2976671057

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.