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DR. LINGWOOD:
      This slide is a simplistic view of how the toxin gets into cells. It originally was thought, that the "B" subunit was just the means to get the "A" subunit into the cell. Yes?

SPEAKER:
      Quick question, what is apoptosis; what does that mean?

DR. LINGWOOD:
      What is apoptosis? There's a whole science. I think there's probably been a thousand papers published on this. It's the big area in terms of cancer and cell regulation. Apoptosis (or programmed cell death) is a mechanism by which cells die but without disturbing homeostasis.
      When a cell is killed, for example by a toxin, its contents are released, and that is a traumatic situation for an organism as it gets all this junk and causes inflammation.
      Apoptosis is a mechanism by which an organism can get rid of a cell without undergoing that trauma, a quiet kind of death. It's a genetic program, which undergoes a series of steps which are not completely worked out by which initially a nuclear envelope is broken down. The DNA gets clipped up and is impaired.
      Apoptosis is a kind of cell turnover. And why it's so important is that cancer cells are oftentimes defective in their mechanism of apoptosis. If you could induce cancer cells to correct their apoptotic regulation, they wouldn't grow uncontrollably. And most anticancer agents are actually high inducers for apoptosis.
      All right. So verotoxin/Gb3 binding targets both the "A" and "B" subunit to go into the cells, and actually, we don't see that the subunits separate.




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