id: MODULE:trail_apoptotic_signaling
title: TRAIL-activated apoptotic signaling — TNFSF10 ligation of TRAIL-R1/R2, FADD/caspase-8 DISC assembly restrained by c-FLIP and decoy receptors, and type I (direct executioner caspase) versus type II (BID/mitochondrial) caspase amplification
description: >-
  TRAIL (TNFSF10, Apo2L) is a TNF-family ligand that exists as a type II
  transmembrane protein and as a shed soluble form; both act as homotrimers.
  A TRAIL trimer binds the two death-domain receptors TRAIL-R1 (DR4,
  TNFRSF10A) and TRAIL-R2 (DR5, TNFRSF10B), which form homomeric and
  heteromeric ligand-receptor clusters at the plasma membrane. The receptor
  death domains recruit the adaptor FADD through death-domain contacts, and
  FADD in turn recruits procaspase-8 (and, where expressed, procaspase-10)
  through death-effector-domain contacts, forming the TRAIL death-inducing
  signaling complex (DISC). Proximity-induced dimerisation activates
  caspase-8 at the DISC. The catalytically inactive caspase-8 paralog c-FLIP
  (CFLAR) is recruited to the same FADD platform and restrains caspase-8
  activation, and the decoy receptors TRAIL-R3 (TNFRSF10C, which lacks an
  intracellular domain) and TRAIL-R4 (TNFRSF10D, which carries a truncated
  death domain) can bind TRAIL without assembling a DISC and protect cells
  when overexpressed. Active caspase-8 then propagates the signal by one of
  two routes. In type I cells enough caspase-8 is generated at the DISC to
  cleave and activate the executioner caspases-3 and -7 directly. In type II
  cells caspase-8 output is limiting and must be amplified through the
  mitochondrial pathway: caspase-8 cleaves the BH3-only protein BID to
  truncated tBID, which moves to mitochondria and activates BAX/BAK-dependent
  outer membrane permeabilisation, cytochrome c release, apoptosome assembly
  and caspase-9 activation, which then feeds the same executioner caspases.
status: DRAFT
scope: CONCRETE
references:
  - id: PMID:10894161
    title: Apo2L/TRAIL-dependent recruitment of endogenous FADD and caspase-8 to death receptors 4 and 5.
    findings:
      - statement: >-
          Endogenous TRAIL DISC analysis: TRAIL induces DR4/DR5 homomeric and
          heteromeric complexes that recruit FADD and caspase-8, whereas TRADD
          and RIP do not bind DR4 or DR5.
    reference_review:
      relevance: HIGH
      correctness: VERIFIED
      review_notes: >-
        Abstract-only cache; the abstract explicitly states the endogenous
        recruitment results and the negative TRADD/RIP result used to exclude
        TRADD from the DISC part.
  - id: PMID:10894160
    title: FADD/MORT1 and caspase-8 are recruited to TRAIL receptors 1 and 2 and are essential for apoptosis mediated by TRAIL receptor 2.
    reference_review:
      relevance: HIGH
      correctness: VERIFIED
      review_notes: Native TRAIL DISC analysis plus FADD- and caspase-8-deficient Jurkat cells.
  - id: PMID:9430228
    title: TRAIL receptors 1 (DR4) and 2 (DR5) signal FADD-dependent apoptosis and activate NF-kappaB.
    reference_review:
      relevance: HIGH
      correctness: VERIFIED
      review_notes: >-
        Overexpression study reporting that both TRAIL receptors bind FADD and
        TRADD; the TRADD result is the basis of the TRADD step in the human
        TRAIL GO-CAMs but was not reproduced for endogenous DISCs
        (PMID:10894161).
  - id: PMID:10862756
    title: 'FADD is required for DR4- and DR5-mediated apoptosis: lack of trail-induced apoptosis in FADD-deficient mouse embryonic fibroblasts.'
    reference_review:
      relevance: HIGH
      correctness: VERIFIED
  - id: PMID:26457518
    title: The structure of the death receptor 4-TNF-related apoptosis-inducing ligand (DR4-TRAIL) complex.
    reference_review:
      relevance: HIGH
      correctness: VERIFIED
      review_notes: Crystal structure of the TRAIL trimer bound to three DR4 ectodomains.
  - id: PMID:12198154
    title: Caspase-10 is recruited to and activated at the native TRAIL and CD95 death-inducing signalling complexes in a FADD-dependent manner but can not functionally substitute caspase-8.
    reference_review:
      relevance: HIGH
      correctness: VERIFIED
  - id: PMID:11717445
    title: Caspase-10 is an initiator caspase in death receptor signaling.
    reference_review:
      relevance: HIGH
      correctness: DISPUTED
      review_notes: >-
        Reports caspase-8-independent initiation by caspase-10 in Fas and TRAIL
        signalling; contradicted for TRAIL by PMID:12198154, which found that
        caspase-10 cannot rescue caspase-8 deficiency. Recorded as a knowledge
        gap.
  - id: PMID:9217161
    title: Inhibition of death receptor signals by cellular FLIP.
    reference_review:
      relevance: HIGH
      correctness: VERIFIED
  - id: PMID:9242610
    title: An antagonist decoy receptor and a death domain-containing receptor for TRAIL.
    reference_review:
      relevance: MEDIUM
      correctness: LOW_QUALITY
      review_notes: >-
        Correctly cited for the TRAIL-R3 (TRID/DcR1) decoy function, but the
        protective effect rests on ectopic expression, the caveat RGD's own
        record text raises for the decoy receptors.
  - id: PMID:9430226
    title: The novel receptor TRAIL-R4 induces NF-kappaB and protects against TRAIL-mediated apoptosis, yet retains an incomplete death domain.
    reference_review:
      relevance: MEDIUM
      correctness: LOW_QUALITY
      review_notes: >-
        Correctly cited for TRAIL-R4 protection, but the evidence is transient
        overexpression.
  - id: PMID:9765224
    title: Pro-caspase-3 is a major physiologic target of caspase-8.
    reference_review:
      relevance: HIGH
      correctness: VERIFIED
      review_notes: Purified-system kinetics of direct pro-caspase-3 activation by caspase-8 and caspase-10.
  - id: PMID:9727492
    title: Cleavage of BID by caspase 8 mediates the mitochondrial damage in the Fas pathway of apoptosis.
    reference_review:
      relevance: HIGH
      correctness: VERIFIED
      review_notes: Established in the Fas pathway; the same caspase-8 to BID step operates in TRAIL type II cells (PMID:12407450).
  - id: PMID:9501089
    title: Two CD95 (APO-1/Fas) signaling pathways.
    reference_review:
      relevance: MEDIUM
      correctness: VERIFIED
      review_notes: Original type I/type II definition, made for CD95; used for the variant-set axis.
  - id: PMID:12407450
    title: Defining characteristics of Types I and II apoptotic cells in response to TRAIL.
    reference_review:
      relevance: HIGH
      correctness: VERIFIED
      review_notes: Full text cached; extends the type I/II distinction to TRAIL and identifies BID cleavage as the limiting step.
evidence:
  - source_id: PW:0000682
    title: trail mediated signaling pathway
    statement: >-
      The module boundary and its core gene products follow the RGD
      interactive diagram for this Pathway Ontology term. The diagram draws
      Tnfsf10 associated with TNFRSF10A and Tnfrsf10b; both receptors
      associated with Fadd; Fadd associated with Casp8 and with Cflar; Cflar
      negatively affecting Casp8; and Casp8 positively affecting Bid, Casp3
      and Casp7, with Casp3/Casp7 acting on caspase targets and Bid leading
      into the intrinsic apoptotic pathway (PW:0000104). The record text adds
      Casp10 at the DISC "when present", two decoy receptors lacking a
      functional death domain, and osteoprotegerin as a low-affinity fifth
      receptor of undetermined role, and distinguishes type I from type II
      cells. Derived through projects/RGD_PATHWAY_ONTOLOGY
      (pathways/PW_0000682.yaml).
  - source_id: GO:0036462
    title: TRAIL-activated apoptotic signaling pathway
    statement: >-
      The module is grounded in GO TRAIL-activated apoptotic signaling
      pathway, the relatedMatch GO mapping recorded for PW:0000682 in the
      project's module seeds. GO:0036462 is_a GO:0008625 extrinsic apoptotic
      signaling pathway via death domain receptors, the process of the
      generic modules/death_receptor_apoptotic_signaling.yaml.
  - source_id: PMID:10894161
    title: Apo2L/TRAIL-dependent recruitment of endogenous FADD and caspase-8 to death receptors 4 and 5.
    statement: >-
      Endogenous TRAIL DISCs contain DR4/DR5, FADD and caspase-8, the core
      of the module.
    supporting_text: >-
      Apo2L/TRAIL induced homomeric and heteromeric complexes of DR4 and DR5
      and stimulated recruitment of FADD and caspase-8 and caspase-8
      activation in nontransfected cells.
  - source_id: PMID:12407450
    title: Defining characteristics of Types I and II apoptotic cells in response to TRAIL.
    statement: >-
      TRAIL signalling shows the type I (mitochondria-independent) versus
      type II (mitochondria-dependent) split, with BID cleavage the limiting
      step for mitochondrial involvement.
    supporting_text: >-
      These results suggest BID cleavage as a possible limiting factor in the
      involvement of mitochondria in TRAIL-induced cell death.
notes: >-
  Derived from the RGD Pathway Ontology diagram PW:0000682 (trail mediated
  signaling pathway) through the RGD_PATHWAY_ONTOLOGY project. RGD's human
  gene list is BID, CASP3, CASP7, CASP8, CFLAR, FADD, TNFRSF10A, TNFRSF10B and
  TNFSF10. The diagram supplied the receptor-FADD-caspase-8 core, CFLAR as the
  DISC inhibitor, and the two caspase-8 outputs (CASP3/CASP7 directly; BID
  into the intrinsic pathway PW:0000104). Molecular functions were taken from
  the completed human gene reviews and QuickGO experimental annotations and
  checked against go-basic (releases/2026-07-26).

  Relation to other modules. modules/death_receptor_apoptotic_signaling.yaml
  is the generic, FAS-centred death-receptor module and records TRAIL as an
  open expansion gap; this module is the concrete TRAIL instance of that
  pattern and does not modify the generic module. The mitochondrial arm is not
  re-modelled: the type II variant includes the TRAIL-specific step (caspase-8
  cleavage of BID and tBID as the activator) and then references
  modules/intrinsic_apoptotic_signaling.yaml by module_ref (BAX/BAK, MOMP,
  apoptosome, caspase-9; tBID's BAX/BAK-activating role is modelled in more
  detail in modules/bcl2_family_momp_control.yaml#bh3_only_activation).
  Executioner caspases CASP3 and CASP7 are on the RGD list but are included
  by module_ref to modules/apoptotic_execution_phase.yaml#executioner_caspase_proteolysis
  rather than duplicated; the type I variant carries only the caspase-8
  activity that cleaves them.

  Receptors. Human TRAIL-R1 and TRAIL-R2 are modelled as a ONE_OR_MORE
  variant set: either can transduce the signal and they form heteromeric
  complexes (PMID:10894161). RGD notes that rodents express only the
  Tnfrsf10b ortholog, so the concrete human module has two alternatives where
  rat has one. Both carry TRAIL receptor activity (GO:0036463), the
  is_a child of death receptor activity used as core function in the
  TNFRSF10A and TNFRSF10B reviews.

  Decoy receptors (decision: include TNFRSF10C/TNFRSF10D as an optional
  regulatory part; exclude TNFRSF11B). They are not on RGD's gene list but
  are described in the RGD record text. TNFRSF10C and TNFRSF10D carry
  receptor decoy activity (GO:0140319) by IDA in GOA (PMID:9242610,
  PMID:9430226), so they are modelled as an optional part that negatively
  regulates receptor ligation. RGD's caveat that the decoy function has only
  been shown in overexpression studies is carried in the reference reviews
  and part notes. TNFRSF10D also signals NF-kappaB (PMID:9430226); that arm is
  out of scope. Osteoprotegerin (TNFRSF11B) is excluded: RGD states that the
  role of its low-affinity TRAIL interaction, if any, remains to be
  determined, and its experimental GO annotations concern RANKL decoy biology
  rather than TRAIL.

  CASP10 (decision: optional DISC part). CASP10 is not on the RGD gene list
  but the record text names it "when present", and it has no rodent
  ortholog. It is recruited to and activated at the native TRAIL DISC in a
  FADD-dependent way (PMID:12198154), but whether it can initiate apoptosis
  without caspase-8 is disputed (PMID:11717445 versus PMID:12198154), so it is
  an optional part and the dispute is a knowledge gap.

  CFLAR. c-FLIP is modelled with cysteine-type endopeptidase inhibitor
  activity (GO:0004869), the CFLAR review's core inhibitory function (IDA,
  PMID:9217161), acting on caspase-8 at the DISC. The module supplies the
  apoptotic context, so the precomposed "involved in apoptotic process" child
  GO:0043027 is not used (projects/INVOLVED_IN_PRECOMPOSITION.md). The review
  also records FLIP-L's caspase-8 activator activity in the
  necroptosis/ripoptosome context, which is outside this module.

  Excluded upstream and parallel biology. TRADD is excluded from the DISC
  part: the endogenous TRAIL DISC analyses found that TRADD does not bind DR4
  or DR5 (PMID:10894161) and that FADD and caspase-8 are recruited directly
  (PMID:10894160), and RGD draws FADD binding the receptors directly. ZDHHC3
  palmitoylation of DR4 (raft localisation) is a regulatory input shown in
  the human GO-CAM but not drawn by RGD and is left out of scope. Non-apoptotic
  TRAIL signalling (NF-kappaB, MAPK, necroptosis via RIPK1/RIPK3) is not drawn
  by RGD and is out of scope (see modules/nfkb_canonical_signaling.yaml and
  modules/necroptosis.yaml). DISC inhibitors outside the RGD diagram (e.g.
  PARK7/DJ-1, PMID:21785459) are not modelled.

  BID as a participant, not a mere substrate. BID is a caspase-8 substrate,
  but the cleavage product tBID does the work of the next step (it activates
  BAX/BAK to permeabilise the outer mitochondrial membrane), so it is a
  functional participant. No GO molecular-function term exists for this
  activator activity; the BID review proposes one ("pro-apoptotic BCL2 family
  effector activator activity") and the annoton uses that free-text name with
  no GO id, as in modules/bcl2_family_momp_control.yaml.

  GO-CAM alignment and disagreements. The human production models
  gomodel:662af8fa00002877 (TRAIL/TRAILR1) and gomodel:663d668500001492
  (TRAIL/TRAILR2) contain TNFSF10, the receptor, TRADD, FADD and CASP8 in a
  linear directly-positively-regulates chain, plus (TRAILR1 model only) ZDHHC3
  palmitoyltransferase. Agreement: FADD protein-macromolecule adaptor activity
  (GO:0030674) and CASP8 cysteine-type endopeptidase activity (GO:0004197) are
  used here unchanged; TNFSF10 is typed cytokine activity (GO:0005125) as in
  both models (also IBA and IDA in GOA, accepted in the TNFSF10 review).
  Disagreements: (1) the models type TNFRSF10A and TNFRSF10B with the generic
  signaling receptor activity (GO:0038023); this module uses the specific TRAIL
  receptor activity (GO:0036463), which TNFRSF10B carries by IDA
  (PMID:28362429) and which both receptor reviews adopt as core. (2) The
  models interpose a TRADD adaptor activity between receptor and FADD, based
  on the overexpression study PMID:9430228; the endogenous DISC studies
  (PMID:10894161, PMID:10894160) and the RGD diagram do not support TRADD in
  the apoptotic TRAIL DISC, so it is excluded. (3) The TNFSF10 review's core
  function is tumor necrosis factor receptor binding (GO:0005164); the module
  follows the GO-CAM ligand-activity convention instead, and death receptor
  agonist activity (GO:0038177) would be a more specific ligand term that no
  GOA row yet carries. (4) The models stop at CASP8; the type I output is
  matched by gomodel:62b4ffe300000784 (CASP8 and CASP10 activating CASP7). (5)
  gomodel:685de18700006529 types CFLAR with cysteine-type endopeptidase
  activity (GO:0004197) negatively regulating CASP8; c-FLIP lacks the
  catalytic cysteine (PMID:9217161 describes the caspase-like domain in which
  the active-centre cysteine is replaced by tyrosine), and the CFLAR review
  removes GO:0004197, so this looks like an upstream GO-CAM typing error; the
  module uses GO:0004869 instead.

  Validator warnings (all explained, none blocking). Two "feedback loop" notices
  fire for the c-FLIP and decoy-receptor parts because they only inhibit and
  have no incoming activating edge; that is correct here, since neither is
  induced by the pathway in the biology RGD draws (c-FLIP level is set by
  transcription and turnover outside this module). One function-conformance
  notice reports that TNFSF10's reviewed core function is GO:0005164 while the
  module uses GO:0005125, which is the deliberate GO-CAM alignment described
  above. One notice reports that tBID's activator function has no GO id, which
  is intentional pending the proposed term.
knowledge_gaps:
  - gap_statement: >-
      Whether caspase-10 can initiate TRAIL-induced apoptosis independently of
      caspase-8 in human cells is unresolved.
    boundary: >-
      CASP10 is modelled as an optional DISC component recruited and activated
      at the native TRAIL DISC, not as a substitute for CASP8 in executioner
      caspase activation.
    gap_kind:
      - BIOLOGY
    status: OPEN
    significance: >-
      PMID:11717445 reports caspase-8-independent initiation by caspase-10,
      while PMID:12198154 found that caspase-10 is not required for apoptosis
      and cannot rescue caspase-8-deficient cells. The two results imply
      different module topologies (parallel initiators versus one initiator
      with an accessory protease).
    resolution: >-
      Compare TRAIL responses in isogenic CASP8-null, CASP10-null and
      double-null human cells with native DISC composition measured in
      parallel, and define caspase-10's distinct substrate set.
  - gap_statement: >-
      What determines whether a cell uses the type I or the type II route
      downstream of the TRAIL DISC is only partly known.
    boundary: >-
      The two routes are modelled as an explicit variant set; the module does
      not assert a mechanism that selects between them.
    gap_kind:
      - BIOLOGY
    status: OPEN
    significance: >-
      PMID:12407450 found that neither endogenous protein levels nor the
      efficiency of procaspase-8 processing at the TRAIL DISC predicted the
      kinetics of BID and executioner caspase cleavage, pointing to BID
      cleavage itself as the limiting step without identifying what limits it.
    resolution: >-
      Quantitative measurement of BID cleavage rate, tBID membrane
      translocation and executioner caspase activation in isogenic cells
      titrated for BID, BCL2-family and XIAP levels.
  - gap_statement: >-
      Whether TRAIL-R3 and TRAIL-R4 act as decoy receptors at physiological
      expression levels is not established.
    boundary: >-
      The decoy receptors form an optional regulatory part that negatively
      regulates receptor ligation; the core pathway does not depend on them.
    gap_kind:
      - BIOLOGY
    status: OPEN
    significance: >-
      Both the RGD record text and the primary reports (PMID:9242610,
      PMID:9430226) rest the protective effect on ectopic or transient
      overexpression, so the endogenous contribution to TRAIL resistance in
      normal tissue is unquantified.
    resolution: >-
      Endogenous-level loss-of-function of TNFRSF10C and TNFRSF10D in
      TRAIL-resistant primary cells, with measurement of ligand capture versus
      receptor-complex poisoning.
module:
  id: trail_apoptotic_signaling
  label: TRAIL-activated apoptotic signaling
  module_type: SIGNALING_PATHWAY
  concepts:
    - preferred_term: TRAIL-activated apoptotic signaling pathway
      term:
        id: GO:0036462
        label: TRAIL-activated apoptotic signaling pathway
      description: >-
        An extrinsic apoptotic signaling pathway initiated by binding of the
        trimeric ligand TRAIL to the death-domain receptors TRAIL-R1 and
        TRAIL-R2, proceeding through FADD/caspase-8 DISC assembly to
        executioner caspase activation, directly or through mitochondrial
        amplification.
  context:
    taxa:
      - preferred_term: Homo sapiens
        term:
          id: NCBITaxon:9606
          label: Homo sapiens
        description: >-
          Grounded on the human proteins. The diagram is RGD's rat curation;
          rodents express only the Tnfrsf10b receptor ortholog and no CASP10
          ortholog, so the human instance has alternatives the rat lacks.
    cellular_components:
      - preferred_term: plasma membrane
        term:
          id: GO:0005886
          label: plasma membrane
        description: Ligand-receptor clustering and DISC assembly occur at the plasma membrane.
      - preferred_term: cytosol
        term:
          id: GO:0005829
          label: cytosol
        description: Caspase-8, c-FLIP and the executioner caspases act in the cytosol.
  parts:
    - order: 1
      role: TRAIL trimer ligation of a death-domain TRAIL receptor
      node:
        id: trail_receptor_ligation
        label: TRAIL binds TRAIL-R1 or TRAIL-R2
        module_type: REGULATORY_STEP
        description: >-
          Membrane-bound or shed soluble TRAIL homotrimers engage the
          cysteine-rich ectodomains of TRAIL-R1 (DR4) and TRAIL-R2 (DR5),
          clustering receptor death domains on the cytoplasmic face. A TRAIL
          trimer binds three receptor monomers, and TRAIL induces both
          homomeric and heteromeric DR4/DR5 complexes.
        annotons:
          - id: tnfsf10_trail_ligand
            label: TRAIL (TNFSF10) death receptor ligand
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: TNFSF10 (TRAIL, Apo2L)
                term:
                  id: UniProtKB:P50591
                  label: Tumor necrosis factor ligand superfamily member 10
            function:
              preferred_term: cytokine activity
              term:
                id: GO:0005125
                label: cytokine activity
              targets:
                - preferred_term: TNFRSF10A (TRAIL-R1/DR4)
                  term:
                    id: UniProtKB:O00220
                    label: Tumor necrosis factor receptor superfamily member 10A
                - preferred_term: TNFRSF10B (TRAIL-R2/DR5)
                  term:
                    id: UniProtKB:O14763
                    label: Tumor necrosis factor receptor superfamily member 10B
            processes:
              - preferred_term: TRAIL-activated apoptotic signaling pathway
                term:
                  id: GO:0036462
                  label: TRAIL-activated apoptotic signaling pathway
            locations:
              - preferred_term: plasma membrane
                term:
                  id: GO:0005886
                  label: plasma membrane
              - preferred_term: extracellular region
                term:
                  id: GO:0005576
                  label: extracellular region
            role_description: >-
              A type II transmembrane TNF-family ligand that homotrimerises and
              is also active as a protease-shed soluble trimer; each trimer
              binds three receptor ectodomains.
            evidence:
              - source_id: PMID:26457518
                statement: >-
                  TRAIL is a trimeric type II transmembrane ligand, also active
                  as a shed soluble trimer, and binds three DR4 monomers.
                supporting_text: >-
                  A total of three DR4 molecules are bound to the TRAIL trimer,
                  with each DR4 binding to two adjacent TRAIL monomers in the
                  trimer
            gocam_associations:
              - model: gomodel:662af8fa00002877
                activity: gomodel:662af8fa00002877/663d668500001433
                title: TRAIL/TRAILR1 interaction leading to apoptosis (human)
                description: >-
                  Same gene and molecular function (GO:0005125) in GO:0036462;
                  gomodel:663d668500001492/663d668500001502 is the equivalent
                  node of the TRAILR2 model.
        variant_sets:
          - id: trail_death_receptors
            label: Apoptosis-inducing TRAIL receptors
            axis: receptor paralog
            selection: ONE_OR_MORE
            notes: >-
              Of the five TRAIL-binding receptors, only TRAIL-R1 and TRAIL-R2
              carry a functional death domain and can assemble a DISC. Either
              suffices, they are recruited independently of each other, and
              TRAIL induces heteromeric DR4/DR5 complexes, so ONE_OR_MORE
              rather than EXACTLY_ONE. Rodents express only the TRAIL-R2
              ortholog.
            variants:
              - id: trailr1_variant
                label: TRAIL-R1 / DR4 (TNFRSF10A)
                module_type: REGULATORY_STEP
                annotons:
                  - id: tnfrsf10a_receptor
                    label: TNFRSF10A TRAIL receptor activity
                    participant:
                      selector_type: GENE_PRODUCT
                      gene_product:
                        preferred_term: TNFRSF10A (TRAIL-R1/DR4)
                        term:
                          id: UniProtKB:O00220
                          label: Tumor necrosis factor receptor superfamily member 10A
                    function:
                      preferred_term: TRAIL receptor activity
                      term:
                        id: GO:0036463
                        label: TRAIL receptor activity
                    processes:
                      - preferred_term: TRAIL-activated apoptotic signaling pathway
                        term:
                          id: GO:0036462
                          label: TRAIL-activated apoptotic signaling pathway
                    locations:
                      - preferred_term: plasma membrane raft
                        term:
                          id: GO:0044853
                          label: plasma membrane raft
                    role_description: >-
                      Death-domain TRAIL receptor; transmits the TRAIL signal
                      across the membrane and nucleates FADD recruitment.
                    evidence:
                      - source_id: PMID:9430228
                        statement: TRAIL-R1 (DR4) signals FADD-dependent apoptosis.
                        supporting_text: >-
                          TRAIL induces apoptosis through two closely related
                          receptors, TRAIL-R1 (DR4) and TRAIL-R2 (DR5).
                    gocam_associations:
                      - model: gomodel:662af8fa00002877
                        activity: gomodel:662af8fa00002877/663d668500001440
                        title: TRAIL/TRAILR1 interaction leading to apoptosis (human)
                        description: >-
                          Same gene, same process and location; the model types
                          the receptor with the generic GO:0038023 signaling
                          receptor activity where this module uses the specific
                          GO:0036463 TRAIL receptor activity.
              - id: trailr2_variant
                label: TRAIL-R2 / DR5 (TNFRSF10B)
                module_type: REGULATORY_STEP
                annotons:
                  - id: tnfrsf10b_receptor
                    label: TNFRSF10B TRAIL receptor activity
                    participant:
                      selector_type: GENE_PRODUCT
                      gene_product:
                        preferred_term: TNFRSF10B (TRAIL-R2/DR5)
                        term:
                          id: UniProtKB:O14763
                          label: Tumor necrosis factor receptor superfamily member 10B
                    function:
                      preferred_term: TRAIL receptor activity
                      term:
                        id: GO:0036463
                        label: TRAIL receptor activity
                    processes:
                      - preferred_term: TRAIL-activated apoptotic signaling pathway
                        term:
                          id: GO:0036462
                          label: TRAIL-activated apoptotic signaling pathway
                    locations:
                      - preferred_term: plasma membrane
                        term:
                          id: GO:0005886
                          label: plasma membrane
                    role_description: >-
                      Death-domain TRAIL receptor, the only apoptosis-inducing
                      TRAIL receptor in rodents; FADD and caspase-8 are
                      essential for its apoptotic output.
                    evidence:
                      - source_id: PMID:10894160
                        statement: >-
                          FADD and caspase-8 are required for TRAIL-R2-mediated
                          apoptosis.
                        supporting_text: >-
                          FADD/MORT1- and caspase-8-deficient Jurkat cells
                          expressing only TRAIL-R2 were resistant to
                          TRAIL-induced apoptosis.
                    gocam_associations:
                      - model: gomodel:663d668500001492
                        activity: gomodel:663d668500001492/663d668500001509
                        title: TRAIL/TRAILR2 interaction leading to apoptosis (human)
                        description: >-
                          Same gene, process and location; the model uses the
                          generic GO:0038023 where this module uses GO:0036463.
    - order: 2
      role: TRAIL DISC assembly and caspase-8 activation
      node:
        id: trail_disc_assembly
        label: TRAIL DISC assembly and initiator caspase activation
        module_type: REGULATORY_STEP
        description: >-
          The ligated receptor death domains recruit FADD, whose death effector
          domain then recruits procaspase-8, forming the TRAIL
          death-inducing signaling complex. Proximity-induced dimerisation
          activates caspase-8, which is released as the active protease.
        concepts:
          - preferred_term: TRAIL death-inducing signaling complex
            term:
              id: GO:0031266
              label: TRAIL death-inducing signaling complex
          - preferred_term: TRAIL death-inducing signaling complex assembly
            term:
              id: GO:1903074
              label: TRAIL death-inducing signaling complex assembly
        annotons:
          - id: fadd_disc_adaptor
            label: FADD adaptor bridging receptor to procaspase-8
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: FADD
                term:
                  id: UniProtKB:Q13158
                  label: FAS-associated death domain protein
            function:
              preferred_term: protein-macromolecule adaptor activity
              term:
                id: GO:0030674
                label: protein-macromolecule adaptor activity
              targets:
                - preferred_term: CASP8 (procaspase-8)
                  term:
                    id: UniProtKB:Q14790
                    label: Caspase-8
            processes:
              - preferred_term: TRAIL death-inducing signaling complex assembly
                term:
                  id: GO:1903074
                  label: TRAIL death-inducing signaling complex assembly
              - preferred_term: TRAIL-activated apoptotic signaling pathway
                term:
                  id: GO:0036462
                  label: TRAIL-activated apoptotic signaling pathway
            locations:
              - preferred_term: cytoplasmic side of plasma membrane
                term:
                  id: GO:0009898
                  label: cytoplasmic side of plasma membrane
            role_description: >-
              The obligatory adaptor: its death domain binds the receptor and
              its death effector domain binds procaspase-8. Loss of FADD
              abolishes DR4- and DR5-mediated apoptosis.
            evidence:
              - source_id: PMID:10894161
                statement: >-
                  Endogenous FADD and caspase-8 are recruited to ligated DR4
                  and DR5, whereas TRADD and RIP are not.
                supporting_text: >-
                  TRADD and RIP, which bound TNFR1, did not bind DR4 and DR5.
              - source_id: PMID:10862756
                statement: FADD is required for DR4- and DR5-mediated apoptosis.
                supporting_text: >-
                  We conclude that FADD is required for DR4- and DR5-mediated
                  apoptosis.
            gocam_associations:
              - model: gomodel:662af8fa00002877
                activity: gomodel:662af8fa00002877/663d668500001472
                title: TRAIL/TRAILR1 interaction leading to apoptosis (human)
                description: >-
                  Same gene and molecular function (GO:0030674) in GO:0036462;
                  the equivalent TRAILR2 node is
                  gomodel:663d668500001492/663d668500001530. In both models FADD
                  is downstream of a TRADD activity, which this module omits.
          - id: casp8_initiator_protease
            label: Caspase-8 initiator protease activated at the DISC
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: CASP8
                term:
                  id: UniProtKB:Q14790
                  label: Caspase-8
            function:
              preferred_term: cysteine-type endopeptidase activity
              term:
                id: GO:0004197
                label: cysteine-type endopeptidase activity
            processes:
              - preferred_term: TRAIL-activated apoptotic signaling pathway
                term:
                  id: GO:0036462
                  label: TRAIL-activated apoptotic signaling pathway
            locations:
              - preferred_term: cytosol
                term:
                  id: GO:0005829
                  label: cytosol
            role_description: >-
              The initiator protease of the pathway: recruited to FADD as a
              zymogen, activated by proximity-induced dimerisation at the DISC,
              and the source of both the type I and type II outputs.
            evidence:
              - source_id: PMID:10894161
                statement: >-
                  TRAIL stimulates recruitment and activation of caspase-8 at
                  endogenous DR4/DR5 complexes.
                supporting_text: >-
                  stimulated recruitment of FADD and caspase-8 and caspase-8
                  activation in nontransfected cells
            gocam_associations:
              - model: gomodel:662af8fa00002877
                activity: gomodel:662af8fa00002877/663d668500001482
                title: TRAIL/TRAILR1 interaction leading to apoptosis (human)
                description: >-
                  Same gene and molecular function (GO:0004197) in GO:0036462;
                  the equivalent TRAILR2 node is
                  gomodel:663d668500001492/663d668500001540.
        connections:
          - source: fadd_disc_adaptor
            target: casp8_initiator_protease
            connection_type: POSITIVELY_REGULATES
            description: >-
              FADD's death effector domain recruits procaspase-8 to the DISC,
              where dimerisation activates it.
    - order: 3
      role: caspase-10 recruitment to the TRAIL DISC
      optional: true
      node:
        id: trail_disc_casp10
        label: Caspase-10 at the TRAIL DISC
        module_type: REGULATORY_STEP
        description: >-
          Caspase-10, the second death-effector-domain caspase, is recruited to
          and activated at the native TRAIL DISC in a FADD-dependent manner.
          It is present in human but has no rodent ortholog, and its
          contribution to apoptosis induction is disputed, so it is an optional
          part rather than an alternative initiator.
        annotons:
          - id: casp10_disc_protease
            label: Caspase-10 recruited to FADD at the TRAIL DISC
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: CASP10
                term:
                  id: UniProtKB:Q92851
                  label: Caspase-10
            function:
              preferred_term: death effector domain binding
              term:
                id: GO:0035877
                label: death effector domain binding
              targets:
                - preferred_term: FADD
                  term:
                    id: UniProtKB:Q13158
                    label: FAS-associated death domain protein
            processes:
              - preferred_term: TRAIL-activated apoptotic signaling pathway
                term:
                  id: GO:0036462
                  label: TRAIL-activated apoptotic signaling pathway
            locations:
              - preferred_term: cytosol
                term:
                  id: GO:0005829
                  label: cytosol
            role_description: >-
              Binds the FADD death effector domain and is activated at the
              native TRAIL DISC, but cannot substitute for caspase-8 and has a
              partly distinct substrate set.
            evidence:
              - source_id: PMID:12198154
                statement: >-
                  Caspase-10 is recruited to and activated at the native TRAIL
                  DISC in a FADD-dependent manner but cannot replace caspase-8.
                supporting_text: >-
                  Here we show that caspase-10 is recruited not only to the
                  native TRAIL DISC but also to the native CD95 DISC, and that
                  FADD is necessary for its recruitment to and activation at
                  these two protein complexes.
    - order: 4
      role: c-FLIP restraint of caspase-8 activation at the DISC
      node:
        id: trail_disc_cflip_restraint
        label: c-FLIP (CFLAR) restrains DISC caspase-8 activation
        module_type: REGULATORY_STEP
        description: >-
          c-FLIP is a caspase-8 paralog whose caspase-like domain lacks the
          catalytic cysteine. Its death effector domains bind FADD and
          procaspase-8 at the same platform, competing for recruitment and
          blocking caspase-8 activation; it sets the threshold for
          TRAIL-induced death and its level is a determinant of TRAIL
          resistance.
        annotons:
          - id: cflar_disc_inhibitor
            label: c-FLIP caspase-8 inhibition at the DISC
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: CFLAR (c-FLIP)
                term:
                  id: UniProtKB:O15519
                  label: CASP8 and FADD-like apoptosis regulator
            function:
              preferred_term: cysteine-type endopeptidase inhibitor activity
              term:
                id: GO:0004869
                label: cysteine-type endopeptidase inhibitor activity
              targets:
                - preferred_term: CASP8
                  term:
                    id: UniProtKB:Q14790
                    label: Caspase-8
            processes:
              - preferred_term: negative regulation of TRAIL-activated apoptotic signaling pathway
                term:
                  id: GO:1903122
                  label: negative regulation of TRAIL-activated apoptotic signaling pathway
            locations:
              - preferred_term: cytosol
                term:
                  id: GO:0005829
                  label: cytosol
            role_description: >-
              Recruited to FADD through death effector domain contacts and
              inhibits death-receptor-induced apoptosis; the RGD diagram draws
              it associating with Fadd and negatively affecting Casp8.
            evidence:
              - source_id: PMID:9217161
                statement: >-
                  c-FLIP binds FADD and FLICE/caspase-8 and inhibits apoptosis
                  induced by all known human death receptors; its caspase-like
                  domain lacks the catalytic cysteine.
                supporting_text: >-
                  FLIPs and FLIP(L) interact with the adaptor protein FADD and
                  the protease FLICE, and potently inhibit apoptosis induced by
                  all known human death receptors.
            gocam_associations:
              - model: gomodel:685de18700006529
                activity: gomodel:685de18700006529/685de18700006542
                title: >-
                  GMEB1 interacts with the deubiquitinase USP40 to stabilize
                  CFLARL and inhibit apoptosis (human)
                description: >-
                  Same gene and the same negative regulation of CASP8, but the
                  model types CFLAR with GO:0004197 cysteine-type endopeptidase
                  activity; c-FLIP has no catalytic cysteine and the CFLAR
                  review removes that term, so this module uses GO:0004869.
    - order: 5
      role: decoy TRAIL receptors
      optional: true
      node:
        id: trail_decoy_receptors
        label: Decoy TRAIL receptors sequester ligand
        module_type: REGULATORY_STEP
        description: >-
          TRAIL-R3 (TNFRSF10C) has no intracellular domain and TRAIL-R4
          (TNFRSF10D) retains only a fragment of a death domain; both bind
          TRAIL without assembling a DISC and protect cells from
          TRAIL-induced apoptosis when expressed ectopically. RGD's record text
          names them while cautioning that the decoy function has only been
          shown in overexpression studies.
        annotons:
          - id: tnfrsf10c_decoy
            label: TNFRSF10C (TRAIL-R3/DcR1) receptor decoy
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: TNFRSF10C (TRAIL-R3/DcR1)
                term:
                  id: UniProtKB:O14798
                  label: Tumor necrosis factor receptor superfamily member 10C
            function:
              preferred_term: receptor decoy activity
              term:
                id: GO:0140319
                label: receptor decoy activity
              targets:
                - preferred_term: TNFSF10 (TRAIL)
                  term:
                    id: UniProtKB:P50591
                    label: Tumor necrosis factor ligand superfamily member 10
            processes:
              - preferred_term: negative regulation of TRAIL-activated apoptotic signaling pathway
                term:
                  id: GO:1903122
                  label: negative regulation of TRAIL-activated apoptotic signaling pathway
            locations:
              - preferred_term: plasma membrane
                term:
                  id: GO:0005886
                  label: plasma membrane
            role_description: >-
              A TRAIL-binding receptor with an extracellular and transmembrane
              domain but no intracellular signalling domain; proposed to
              explain the TRAIL resistance of normal tissue.
            evidence:
              - source_id: PMID:9242610
                statement: >-
                  TRID/TRAIL-R3 lacks an intracellular signalling domain and
                  ectopic expression protects cells from TRAIL-induced
                  apoptosis.
                supporting_text: >-
                  Ectopic expression of TRID protected mammalian cells from
                  TRAIL-induced apoptosis, which is consistent with a
                  protective role.
          - id: tnfrsf10d_decoy
            label: TNFRSF10D (TRAIL-R4/DcR2) receptor decoy
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: TNFRSF10D (TRAIL-R4/DcR2)
                term:
                  id: UniProtKB:Q9UBN6
                  label: Tumor necrosis factor receptor superfamily member 10D
            function:
              preferred_term: receptor decoy activity
              term:
                id: GO:0140319
                label: receptor decoy activity
              targets:
                - preferred_term: TNFSF10 (TRAIL)
                  term:
                    id: UniProtKB:P50591
                    label: Tumor necrosis factor ligand superfamily member 10
            processes:
              - preferred_term: negative regulation of TRAIL-activated apoptotic signaling pathway
                term:
                  id: GO:1903122
                  label: negative regulation of TRAIL-activated apoptotic signaling pathway
            locations:
              - preferred_term: plasma membrane
                term:
                  id: GO:0005886
                  label: plasma membrane
            role_description: >-
              Binds TRAIL but retains only one third of a consensus death
              domain and cannot induce apoptosis; overexpression confers
              complete protection. Its NF-kappaB output is outside this module.
            evidence:
              - source_id: PMID:9430226
                statement: >-
                  TRAIL-R4 cannot induce apoptosis and its overexpression
                  protects TRAIL-sensitive cells.
                supporting_text: >-
                  Transient overexpression of TRAIL-R4 in cells normally
                  sensitive to TRAIL-mediated killing confers complete
                  protection, suggesting that one function of TRAIL-R4 may be
                  inhibition of TRAIL cytotoxicity.
    - order: 6
      role: caspase-8 output to executioner caspases (type I) or via mitochondria (type II)
      node:
        id: trail_caspase_amplification
        label: Type I and type II routes from caspase-8 to executioner caspases
        module_type: REGULATORY_STEP
        description: >-
          Active caspase-8 reaches the executioner caspases by one of two
          routes, which is the type I / type II distinction. The two variants
          are alternative implementations of the same step, not successive
          steps.
        variant_sets:
          - id: trail_type_i_ii_routes
            label: Type I (direct) versus type II (mitochondrial) amplification
            axis: cell-type-dependent signal amplification route
            selection: ONE_OR_MORE
            notes: >-
              The axis is the cell's dependence on mitochondria downstream of
              the DISC, defined for CD95 in PMID:9501089 and shown for TRAIL in
              PMID:12407450, where BID cleavage is the limiting step. The two
              routes are not mutually exclusive in a given cell, so
              ONE_OR_MORE; which dominates is a knowledge gap.
            variants:
              - id: trail_type_i_direct
                label: Type I - caspase-8 activates executioner caspases directly
                module_type: REGULATORY_STEP
                description: >-
                  Enough active caspase-8 is generated at the DISC to process
                  pro-caspase-3 and pro-caspase-7 directly, without a
                  mitochondrial step.
                parts:
                  - order: 1
                    role: direct processing of executioner caspase zymogens
                    node:
                      id: trail_casp8_direct_processing
                      label: Caspase-8 processes pro-caspase-3 and pro-caspase-7
                      module_type: REACTION
                      description: >-
                        Caspase-8 cleaves the executioner caspase zymogens at
                        rates sufficient for direct processing in vivo.
                      annotons:
                        - id: casp8_executioner_maturation
                          label: Caspase-8 maturation of executioner caspases
                          participant:
                            selector_type: GENE_PRODUCT
                            gene_product:
                              preferred_term: CASP8
                              term:
                                id: UniProtKB:Q14790
                                label: Caspase-8
                          function:
                            preferred_term: cysteine-type endopeptidase activity
                            term:
                              id: GO:0004197
                              label: cysteine-type endopeptidase activity
                            targets:
                              - preferred_term: CASP3 (pro-caspase-3)
                                term:
                                  id: UniProtKB:P42574
                                  label: Caspase-3
                              - preferred_term: CASP7 (pro-caspase-7)
                                term:
                                  id: UniProtKB:P55210
                                  label: Caspase-7
                          processes:
                            - preferred_term: protein maturation
                              term:
                                id: GO:0051604
                                label: protein maturation
                            - preferred_term: TRAIL-activated apoptotic signaling pathway
                              term:
                                id: GO:0036462
                                label: TRAIL-activated apoptotic signaling pathway
                          locations:
                            - preferred_term: cytosol
                              term:
                                id: GO:0005829
                                label: cytosol
                          role_description: >-
                            The same caspase-8 activity as at the DISC, here
                            acting on the executioner zymogens; this is the
                            step the RGD diagram draws as Casp8 --+> Casp3 and
                            Casp8 --+> Casp7.
                          evidence:
                            - source_id: PMID:9765224
                              statement: >-
                                Caspase-8 (and caspase-10) process
                                pro-caspase-3 directly at rates indicating
                                direct processing in vivo, without
                                pro-caspase-9 as intermediary.
                              supporting_text: >-
                                Taken together these data demonstrate that the
                                initiator caspase-8 can directly activate
                                pro-caspase-3 without the requirement for an
                                accelerator.
                          gocam_associations:
                            - model: gomodel:62b4ffe300000784
                              activity: gomodel:62b4ffe300000784/62b4ffe300000799
                              title: >-
                                Involvement of CASP7 in apoptosis, its
                                activation by initiator caspases (CASP8, CASP9
                                and CASP10) and regulation by XIAP and PAK2
                                (human)
                              description: >-
                                Same gene and molecular function (GO:0004197)
                                in protein maturation (GO:0051604), activating
                                CASP7; the model is death-receptor-agnostic.
                  - order: 2
                    role: executioner caspase proteolysis
                    node:
                      id: trail_type_i_execution
                      label: Executioner caspase proteolysis (shared)
                      description: >-
                        Included by reference to the executioner-caspase step
                        of the apoptotic execution phase module; CASP3 and
                        CASP7 are on the RGD gene list and the diagram sends
                        them to "caspase targets", which that module models.
                      module_ref: apoptotic_execution_phase#executioner_caspase_proteolysis
                connections:
                  - source: trail_casp8_direct_processing
                    target: trail_type_i_execution
                    connection_type: CAUSES
                    description: >-
                      Direct zymogen processing yields active executioner
                      caspases, which carry out the execution phase.
              - id: trail_type_ii_mitochondrial
                label: Type II - BID cleavage and mitochondrial amplification
                module_type: REGULATORY_STEP
                description: >-
                  DISC caspase-8 output is limiting, and the signal must be
                  amplified through the mitochondria: caspase-8 cleaves BID,
                  and tBID activates BAX/BAK-dependent permeabilisation,
                  cytochrome c release, apoptosome assembly and caspase-9,
                  which then processes the executioner caspases.
                parts:
                  - order: 1
                    role: caspase-8 cleavage of BID to tBID
                    node:
                      id: trail_bid_cleavage
                      label: Caspase-8 cleaves BID
                      module_type: REACTION
                      description: >-
                        Caspase-8 cleaves full-length cytosolic BID to the
                        truncated form tBID, the rate-limiting step for
                        mitochondrial involvement in TRAIL-induced death.
                      annotons:
                        - id: casp8_bid_cleavage
                          label: Caspase-8 proteolysis of BID
                          participant:
                            selector_type: GENE_PRODUCT
                            gene_product:
                              preferred_term: CASP8
                              term:
                                id: UniProtKB:Q14790
                                label: Caspase-8
                          function:
                            preferred_term: cysteine-type endopeptidase activity
                            term:
                              id: GO:0004197
                              label: cysteine-type endopeptidase activity
                            targets:
                              - preferred_term: BID
                                term:
                                  id: UniProtKB:P55957
                                  label: BH3-interacting domain death agonist
                          processes:
                            - preferred_term: TRAIL-activated apoptotic signaling pathway
                              term:
                                id: GO:0036462
                                label: TRAIL-activated apoptotic signaling pathway
                          locations:
                            - preferred_term: cytosol
                              term:
                                id: GO:0005829
                                label: cytosol
                          role_description: >-
                            The branch point drawn by RGD as Casp8 --+> Bid;
                            BID is a specific proximal caspase-8 substrate.
                          evidence:
                            - source_id: PMID:9727492
                              statement: >-
                                BID is a specific proximal caspase-8 substrate
                                and truncated BID translocates to mitochondria.
                              supporting_text: >-
                                While full-length BID is localized in cytosol,
                                truncated BID (tBID) translocates to
                                mitochondria and thus transduces apoptotic
                                signals from cytoplasmic membrane to
                                mitochondria.
                        - id: tbid_momp_activator
                          label: tBID activation of mitochondrial permeabilisation
                          participant:
                            selector_type: GENE_PRODUCT
                            gene_product:
                              preferred_term: BID (tBID)
                              term:
                                id: UniProtKB:P55957
                                label: BH3-interacting domain death agonist
                          function:
                            preferred_term: pro-apoptotic BCL2 family effector activator activity
                            description: >-
                              Proposed molecular function, as in the BID gene
                              review and
                              modules/bcl2_family_momp_control.yaml: transient
                              BH3-dependent activation of BAX or BAK. No GO
                              term exists, so no id is asserted.
                          processes:
                            - preferred_term: >-
                                positive regulation of mitochondrial outer membrane
                                permeabilization involved in apoptotic signaling pathway
                              term:
                                id: GO:1901030
                                label: >-
                                  positive regulation of mitochondrial outer membrane
                                  permeabilization involved in apoptotic signaling pathway
                            - preferred_term: positive regulation of release of cytochrome c from mitochondria
                              term:
                                id: GO:0090200
                                label: positive regulation of release of cytochrome c from mitochondria
                          locations:
                            - preferred_term: mitochondrial outer membrane
                              term:
                                id: GO:0005741
                                label: mitochondrial outer membrane
                          role_description: >-
                            Cleaved tBID is the entity that performs the next
                            step, engaging BAX/BAK at the outer mitochondrial
                            membrane; this is why BID is a participant and not
                            merely a substrate.
                          evidence:
                            - source_id: PMID:12407450
                              statement: >-
                                In TRAIL-treated type II cells tBID accumulates
                                in the mitochondrial membrane fraction and BID
                                cleavage limits mitochondrial involvement.
                              supporting_text: >-
                                The truncated form of BID accumulated in the
                                heavy membrane fraction after TRAIL treatment
                                but was not detectable in the cytosolic
                                fraction.
                      connections:
                        - source: casp8_bid_cleavage
                          target: tbid_momp_activator
                          connection_type: CAUSES
                          description: >-
                            Cleavage generates tBID, the active mitochondrial
                            activator.
                  - order: 2
                    role: mitochondrial amplification loop
                    node:
                      id: trail_type_ii_intrinsic
                      label: Intrinsic apoptotic signaling (shared)
                      description: >-
                        Included by reference to the intrinsic apoptotic
                        signaling module (BCL2-family MOMP decision, cytochrome
                        c / APAF1 apoptosome, caspase-9 activation); RGD draws
                        this as the subpathway link to PW:0000104. tBID's
                        BAX/BAK-activating role is modelled in detail in
                        modules/bcl2_family_momp_control.yaml#bh3_only_activation.
                      module_ref: intrinsic_apoptotic_signaling
                  - order: 3
                    role: executioner caspase proteolysis
                    node:
                      id: trail_type_ii_execution
                      label: Executioner caspase proteolysis (shared)
                      description: >-
                        Included by reference to the executioner-caspase step of
                        the apoptotic execution phase module, reached here
                        through caspase-9 rather than directly from caspase-8.
                      module_ref: apoptotic_execution_phase#executioner_caspase_proteolysis
                connections:
                  - source: trail_bid_cleavage
                    target: trail_type_ii_intrinsic
                    connection_type: CAUSES
                    description: >-
                      tBID triggers the mitochondrial arm, which amplifies the
                      death-receptor signal.
                  - source: trail_type_ii_intrinsic
                    target: trail_type_ii_execution
                    connection_type: CAUSES
                    description: >-
                      Apoptosome-activated caspase-9 processes the executioner
                      caspases.
  connections:
    - source: trail_receptor_ligation
      target: trail_disc_assembly
      connection_type: CAUSES
      description: >-
        Ligand-induced receptor clustering nucleates FADD recruitment and DISC
        assembly.
    - source: trail_disc_assembly
      target: trail_disc_casp10
      connection_type: CAUSES
      description: >-
        FADD at the assembled DISC also recruits and activates caspase-10 where
        it is expressed.
    - source: trail_disc_cflip_restraint
      target: trail_disc_assembly
      connection_type: NEGATIVELY_REGULATES
      description: >-
        c-FLIP competes for FADD and blocks caspase-8 activation at the DISC.
    - source: trail_decoy_receptors
      target: trail_receptor_ligation
      connection_type: NEGATIVELY_REGULATES
      description: >-
        Decoy receptors bind TRAIL without signalling, reducing ligation of the
        death-domain receptors.
    - source: trail_disc_assembly
      target: trail_caspase_amplification
      connection_type: CAUSES
      description: >-
        Active caspase-8 released from the DISC drives the executioner caspases
        directly or through the mitochondrial loop.
