SMAC/DIABLO exists as a homodimer stabilized by an extensive hydrophobic interface . Key structural features include:
Mitochondrial Targeting Sequence (MTS): A 55-residue N-terminal signal peptide directing mitochondrial import, cleaved post-translocation to generate the mature 184-residue form .
AVPI Motif: The N-terminal tetrapeptide (Ala-Val-Pro-Ile) is essential for binding inhibitor of apoptosis proteins (IAPs), particularly XIAP .
Dimerization: Critical for interaction with IAP BIR2 and BIR3 domains; monomeric mutants fail to bind BIR2 .
| Domain | Function | Key Interactions |
|---|---|---|
| N-terminal AVPI | Binds XIAP BIR3 domain to release caspase-9 inhibition | XIAP BIR3, cIAP1/2 BIR3 |
| Dimer interface | Enables BIR2 domain binding for caspase-3/7 activation | XIAP BIR2, cIAP1/2 BIR2 |
| Mature core | Maintains structural integrity post-MTS cleavage | Mitochondrial intermembrane space |
SMAC/DIABLO promotes apoptosis via two pathways:
Mitochondrial Release: Triggered by BCL-2 family proteins (BAK/BAX), leading to outer membrane permeabilization and cytosolic translocation .
IAP Neutralization:
Recent studies reveal SMAC/DIABLO’s involvement in non-apoptotic processes:
Lipid Synthesis: Modulates mitochondrial phosphatidylserine decarboxylase activity, impacting phospholipid synthesis and cell growth .
Cancer Cell Proliferation: Silencing SMAC/DIABLO in A549 lung cancer cells reduces proliferation and migration, altering proteomics profiles for lipid synthesis, metabolism, and signaling .
Neutrophil-Mediated Immunity: Depletion in cancer cells disrupts proteins linked to neutrophil function, suggesting a role in immune modulation .
SMAC/DIABLO expression varies across tumor types, often inversely correlating with cancer progression:
Small molecules mimicking the AVPI motif enhance apoptosis in combination with chemo/radiotherapy:
Mechanism: Displace IAP-mediated caspase inhibition, sensitizing cells to death receptors (e.g., TRAIL, TNF-α) .
Examples: Peptides fused to penetratin sequences (e.g., Drosophila antennapedia) improve drug delivery .
Preclinical Efficacy: siRNA-mediated silencing in lung, breast, and ovarian cancer models reduces tumor growth and induces differentiation .
Paradox of Overexpression: Despite proapoptotic roles, SMAC/DIABLO is overexpressed in lung, cervical, and renal cancers, suggesting non-apoptotic survival functions .
SMAC/DIABLO (Second mitochondria-derived activator of caspases/Direct inhibitor of apoptosis-binding protein with low pI) is initially produced as a precursor protein with an N-terminal mitochondrial targeting sequence (MTS). The mature form is created through proteolytic processing that removes this targeting sequence. SMAC/DIABLO contains a critical NH2-terminal tetrapeptide motif (Ala-Val-Pro-Ile) that mediates its interaction with inhibitor of apoptosis proteins (IAPs). Research has established that SMAC/DIABLO must form homodimers to effectively interact with IAPs, highlighting the importance of its quaternary structure for functional activity .
SMAC/DIABLO processing involves a sophisticated mechanism whereby the precursor enters mitochondria through a stop-transfer pathway. Analysis reveals that the 53-amino acid presequence of SMAC/DIABLO is both necessary and sufficient for targeting proteins to mitochondria. The Inner Membrane Peptidase (IMP) complex specifically cleaves the stop-transfer sequence, producing the mature, active form of SMAC/DIABLO. Catalytic subunits of the mammalian IMP complex have been identified based on sequence conservation and functional complementation, with novel sequence motifs RX₅P in Imp1 and NX₅S in Imp2 distinguishing the two catalytic subunits . This processing occurs in the mitochondrial intermembrane space, positioning SMAC/DIABLO for potential release into the cytosol during apoptotic events.
Multiple apoptotic stimuli trigger SMAC/DIABLO release from mitochondria, including various chemotherapeutic drugs. Upon apoptotic stimulation, both cytochrome c and SMAC/DIABLO are released into the cytosol, though research indicates these releases occur via different mechanisms. Experimental data demonstrate that the mature form of SMAC/DIABLO must be processed by mitochondrial proteases before cytosolic release can occur in intact cellular systems . Advanced investigations should consider that different apoptotic triggers may employ distinct mechanisms for inducing SMAC/DIABLO release, potentially involving mitochondrial permeability transition, BAX/BAK channel formation, or other pathways not fully characterized in current literature.
In its well-established pro-apoptotic role, SMAC/DIABLO acts by antagonizing IAPs after release from mitochondria into the cytosol. Specifically, SMAC/DIABLO interacts with the BIR2 and BIR3 domains of XIAP, causing the release of caspase-3 and caspase-9, respectively . This interaction occurs through SMAC/DIABLO's N-terminal tetrapeptide motif (AVPI), which competes with similar motifs present in caspases. By neutralizing IAP inhibition, SMAC/DIABLO enables caspase activation and the progression of apoptosis. Methodologically, researchers studying this mechanism should employ co-immunoprecipitation assays to verify SMAC/DIABLO-IAP interactions in their specific experimental systems .
Recent research has revealed unexpected non-apoptotic functions of SMAC/DIABLO that are particularly relevant in cancer contexts. Proteomic analysis of CRISPR/Cas9 SMAC/DIABLO-depleted A549 lung cancer cells showed altered expression of proteins associated with:
Lipid synthesis and signaling
Vesicular transport and trafficking
Cellular metabolism
Epigenetic regulation
Extracellular matrix organization
Cell signaling pathways
Notably, SMAC/DIABLO has been found to modulate mitochondrial phosphatidylserine decarboxylase activity, regulating phospholipid synthesis. These findings significantly expand our understanding of SMAC/DIABLO beyond its traditional apoptotic role and suggest complex interactions within cellular homeostasis .
Advanced investigations have identified SMAC/DIABLO's role in neutrophil-mediated immunity. Proteomics analysis of SMAC/DIABLO-depleted cancer cells revealed significant alterations in immune-related protein expression profiles. While the precise mechanisms remain under investigation, data suggest SMAC/DIABLO influences inflammatory signaling pathways and potentially modulates immune cell recruitment or activation . Researchers exploring this area should consider employing co-culture systems with immune cells, cytokine profiling, and in vivo models to fully characterize these interactions. This emerging understanding suggests SMAC/DIABLO may play roles in tumor immunology beyond direct cancer cell effects.
Immunohistochemical analysis of 100 carcinomas and 50 sarcomas demonstrated significant variation in SMAC/DIABLO expression across cancer types. Expression was detected in 62% of carcinomas, with the following distribution:
Stomach carcinomas: 42/60 (70%)
Colorectal carcinomas: 7/10 (70%)
Lung carcinomas: 4/10 (40%)
Ovarian carcinomas: 7/10 (70%)
Prostate carcinomas: 2/10 (20%)
In contrast, only 22% of sarcomas expressed SMAC/DIABLO, with varying patterns among subtypes:
Malignant schwannomas: 2/8 (25%)
Rhabdomyosarcomas: 5/11 (45%)
Malignant fibrous histiocytomas: 2/7 (29%)
Leiomyosarcomas: 1/6 (17%)
Angiosarcomas: 0/8 (0%)
Liposarcomas: 0/8 (0%)
These tissue-specific expression patterns suggest that SMAC/DIABLO may play different roles depending on the cancer context, requiring targeted research approaches for each cancer type.
Contrary to expectations based on SMAC/DIABLO's pro-apoptotic function, research has revealed complex, tissue-specific relationships between SMAC/DIABLO expression and cancer progression. Some cancers show an inverse correlation, with decreased SMAC/DIABLO expression associated with progression, aggressive behavior, and poor prognosis. In hepatocellular carcinoma, for instance, SMAC/DIABLO mRNA and protein expression decreases with cancer progression, while the IAP survivin increases .
CRISPR/Cas9-mediated SMAC/DIABLO depletion in A549 lung cancer cells resulted in inhibited cell proliferation and migration. This seemingly contradictory finding (given SMAC/DIABLO's pro-apoptotic role) suggests its importance in supporting cancer cell growth through non-apoptotic functions. Proteomics analysis of these depleted cells identified significant changes in protein expression across multiple cellular pathways, including metabolism, lipid synthesis, vesicular transport, and cell signaling . Researchers investigating SMAC/DIABLO's role in specific cancer types should employ multiple functional assays beyond apoptosis assessment, including proliferation, migration, and metabolic analyses to capture the full spectrum of potential effects.
For comprehensive proteomics analysis of SMAC/DIABLO-related pathways, MS/MS with MaxQuant processing (v1.6.6.0 or newer) is recommended. A methodological workflow should include:
Data searching against human SwissProt proteome database with the Andromeda search engine
Quantification and normalization using the LFQ method
Filtering out contaminants and proteins with insufficient replicates
Log₂ transformation of LFQ intensities
Imputation of zero intensities with random numbers derived from a normal distribution
Hypothesis testing for differential protein expressions using Limma
Selection of differentially expressed proteins based on p-value < 0.05 and absolute fold change > 1.6
For hierarchical clustering, Pearson's dissimilarity and complete linkage approaches have proven effective. Researchers should ensure at least one unique peptide is identified for each human protein included in analysis .
The Human SMAC solid-phase sandwich ELISA (enzyme-linked immunosorbent assay) provides a reliable method for quantifying SMAC/DIABLO in human serum, plasma, or cell culture medium. This methodology employs a target-specific antibody pre-coated in microplate wells, with samples, standards, or controls added to bind to this immobilized capture antibody. A second detector antibody completes the sandwich, followed by addition of a substrate solution that reacts with the enzyme-antibody-target complex to produce measurable signal proportional to SMAC/DIABLO concentration .
For optimal results, researchers should:
Ensure proper sample preparation according to tissue/fluid type
Include appropriate standards for quantification
Validate results with western blot where possible
Consider complementary approaches like immunohistochemistry for tissue localization studies
Account for potential post-translational modifications when interpreting results
For reliable SMAC/DIABLO manipulation in experimental systems, CRISPR/Cas9 gene editing provides the most precise approach for depletion studies. Alternative methodologies include:
RNA interference (siRNA/shRNA) for transient knockdown studies
Overexpression systems using vectors containing either full-length or mature SMAC/DIABLO
SMAC mimetics that replicate the IAP-binding activity without affecting non-apoptotic functions
Domain-specific mutations to differentiate between apoptotic and non-apoptotic functions
When designing SMAC/DIABLO manipulation experiments, researchers should:
Include appropriate controls for off-target effects
Verify knockdown/overexpression at both mRNA and protein levels
Consider mitochondrial versus cytosolic localization effects
Perform rescue experiments to confirm specificity
Account for potential compensatory mechanisms in long-term manipulation studies
Establish baseline expression in normal tissues
Correlate expression with clinical outcomes in specific cancer types
Consider both protein levels and subcellular localization
Evaluate in conjunction with other markers, particularly IAPs
Addressing the paradoxical roles of SMAC/DIABLO in cancer presents significant research challenges. Future investigations should prioritize:
Determining context-specific triggers that shift SMAC/DIABLO from pro-apoptotic to non-apoptotic functions
Identifying cancer-specific protein interaction networks
Characterizing post-translational modifications that may alter functionality
Developing experimental systems that can distinguish between mitochondrial and cytosolic functions
Exploring the relationship between SMAC/DIABLO and tumor microenvironment
Methodologically, researchers should employ multi-omics approaches combining proteomics, transcriptomics, and metabolomics to comprehensively map SMAC/DIABLO's functional networks across different cancer contexts. This integrated approach will be essential for developing targeted therapeutic strategies that can exploit SMAC/DIABLO's pro-apoptotic functions while mitigating potential tumor-promoting effects .
SMAC/DIABLO was first identified as a protein that promotes apoptosis by neutralizing the inhibitory effects of Inhibitor of Apoptosis Proteins (IAPs). IAPs are a family of proteins that prevent apoptosis by inhibiting caspases, which are the enzymes responsible for the execution of cell death. SMAC/DIABLO promotes caspase activation by binding to IAPs and preventing them from inhibiting caspases .
Upon apoptotic stimuli, SMAC/DIABLO is released from the mitochondria into the cytosol. In the cytosol, it interacts with IAPs, such as XIAP (X-linked Inhibitor of Apoptosis Protein), and disrupts their ability to inhibit caspases. This interaction facilitates the activation of caspases, leading to the execution of apoptosis .