Autophagyandviability:pro-survivalorpro-death?CompoundingtheintriguewasthediscoverythatBeclin1interactswithBcl-2,suggestingsurprisingnovelcrosstalkbetweentwopotentialcelldeathpathways.Twoopposinghypotheseshaveemerged:autophagyassistsinthedeathofcellsorautophagyprotectsthecellfromdeath.Recentevidencesuggeststhatbothhypothesesmaybecorrectdependingonthecelltype,stimulianddevelopmentalstage.autophagypromotescellsurvivalduringnutrientstarvationbydegradingandrecyclingnutrients.Autophagymayalsoindirectlypromotecellsurvivalbyretardingorpreventingapoptosis.autophagyplaysacrucialroleincellsurvivalduringPCDEg:Whenautophagyiscompromisedgeneticallyorpharmacologically(药理学的),HeLacellsdieviaanapoptoticpathway.ThisdeathisabolishedusingBcl-2orcaspaseinhibitorssuggestingthatautophagyprolongssurvivalbydeterringtheonsetofapoptosis.autophagyitselfisa‘pro-death’processorresultsincelldeathbyregulatingapoptosisDuringDrosophila(果蝇)development,autophagyisessentialtoactivatethePCDrequiredtoeliminateunwantedsalivaryglands.Consistentwiththisconcept,severalDrosophilaATGgenesareupregulatedindyingsalivaryglandsintheabsenceofapoptosis,autophagycanactivelycontributetoexecutionofcelldeath.OverexpressionofBcl-2orBcl-XL(AutophagymediateddeathseemstodependonBcl-XL)inwild-typemouseembryonicfibroblaststreatedwithetoposide(足叶乙甙),(acommonapoptoticreagent),resultedinincreasedautophagosomeFormation,becauseanincreaseinautophagosomeformationwascorrelatedwithcelldeath.Thenon-apoptoticdeathwasdependentonfunctionalautophagicmechanisms.becausesilencingofATG5/beclin1abolisheddeathwhentreatedwithetoposide.Whetherautophagyfunctionsincellsurvivalorcelldeathmaydependonthelevelofautophagyinducedduringagivenphysiologicalcondition.Autophagyasanantimicrobialdefencemechanismautophagyplaysanimportantroleintheeliminationofintracellularandextracellularpathogens.Eg:theplantvirusTMVaccumulatedtoahigherlevelinBeclin1-silencedplantsthaninwild-typeplantsTheseresultsindicatethatautophagyfunctionsasanantiviraldefencemechanism.TheincreaseinvirusaccumulationinautophagydeficientcellssuggeststhatATGproteinsmighttargetcellularfactorsorpathwaysrequiredforvirusreplicationandspread.Autophagyinducedbynutrientstarvationorbytreatmentwithrapamycin(雷帕霉素)activelyinhibitsthesurvivalofthefacultativeintracellularpathogenMycobacteriumtuberculosis(肺结核分支杆菌)Similarly,autophagicvesicleseffectivelyengulfanddestroyinvadingextracellularpathogenssuchasgroupAStreptococcus(链球菌)(GAS).(Autophagy-deficientatg5-/-mutantEScellsareincapableofeliminatingGAS,allowingittosurviveandProliferate.)Inanimals,recentfindingsindicatethatautophagyisalsousedtocombatagainstbacterialpathogens.Itseemssomebacteriahaveevolvedeffectivecounter-defencestrategiestosubvertautophagyandpromotesuccessfulinfection.1、SomebacterialandviralpathogenshaveevolvedtoutilizetheautophagymachineryforreplicationorsurvivalinsidethehostcellAutophagosomal-likevesiclesprovideareplicativenichefora(varietyofpathogensincludingLegionellapneumophila,andBru-ellaabortus.)2、Whilehidinginsideautophagosomes,thesepathogenseplicateandeitherrestrictsautophagosomematurationordelayfusionwiththelysosome.3、TheinvasivepathogenPorphyromonasgingivalisevenstimulatesautophagosomeformationandusesthemtoenterthehostcells.4、Similarly,poliovirusandmousehepatitisvirus(MHV)inducetheformationofautophagosome-likedouble-membranevesicles(DMV)andusethemasareplicativeniche.eg:Inatg5-/-EScellsinfectedwithMHV,formationofDMVisinhibitedandreplicationofthevirusisdrasticallyreducedindicatingthatautophagyisrequiredforefficientreplicationofMHV