| 1997 |
BOK (Bcl-2-related ovarian killer) was identified as a pro-apoptotic BCL-2 family member containing BH1, BH2, and BH3 domains and a C-terminal transmembrane region but lacking the BH4 domain. In yeast two-hybrid assays, BOK interacted selectively with Mcl-1, BHRF1, and Bfl-1, but not with Bcl-2, Bcl-xL, or Bcl-w—a heterodimerization pattern distinct from other pro-apoptotic members (Bax, Bak, Bik). Overexpression of BOK in mammalian cells induced apoptosis that was blocked by P35 and suppressed by co-expression of Mcl-1 or BHRF1 but not Bcl-2. |
Yeast two-hybrid, mammalian cell overexpression, co-expression rescue assay |
Proceedings of the National Academy of Sciences of the United States of America |
High |
9356461
|
| 1998 |
A naturally occurring splicing variant of BOK (Bok-S) with a 43-residue deletion fusing the N-terminal half of BH3 to the C-terminal half of BH1 retained apoptosis-inducing activity but lost the ability to dimerize with anti-apoptotic proteins in vitro. Additional BH3 domain mutations in Bok-L also abolished heterodimerization without impairing pro-apoptotic function, indicating that heterodimerization with anti-apoptotic proteins is not required for BOK-mediated cell killing. |
Site-directed mutagenesis, in vitro binding assay, mammalian cell overexpression/apoptosis assay |
The Journal of biological chemistry |
High |
9804769
|
| 2004 |
In human neuroblastoma and breast cancer cells, DNA damage-induced apoptosis required new protein synthesis, p53 accumulation, and p53-dependent induction of BOK and NOXA genes, with cytochrome c translocation not dependent on BAX. This placed BOK downstream of p53 and upstream of cytochrome c release in the DNA-damage intrinsic apoptosis pathway. |
Protein synthesis inhibition, p53 activation assays, cytochrome c translocation assay, gene expression analysis |
The Journal of biological chemistry |
Medium |
15102863
|
| 2006 |
BOK expression is cell cycle-regulated: Bok RNA is low in quiescent cells and rises upon serum stimulation. The mouse Bok promoter contains a conserved E2F binding site (−43 to −49); serum-dependent activation requires this site, and endogenous E2F1 and E2F3 associate with the Bok promoter in vivo by chromatin immunoprecipitation. |
RT-PCR, luciferase reporter assay, chromatin immunoprecipitation (ChIP), promoter cloning |
The Journal of biological chemistry |
Medium |
16772296
|
| 2006 |
Human BOK contains a leucine-rich nuclear export signal (NES) within its BH3 domain. BOK is present in both nucleus and cytoplasm; treatment with leptomycin B (Crm1 inhibitor) increases nuclear BOK. Crm1 co-immunoprecipitates wild-type BOK but not a NES-mutant BOK. Mutation of the NES increases nuclear localization and apoptotic activity, indicating that nuclear export of BOK is a regulated process mediated by Crm1. |
Western blot fractionation, leptomycin B treatment, site-directed mutagenesis, co-immunoprecipitation, immunocytochemistry |
Molecular carcinogenesis |
Medium |
16302269
|
| 2013 |
Endogenous BOK localizes predominantly to the membranes of the Golgi apparatus and ER (and associated membranes) via a C-terminal tail-anchor transmembrane domain. Overexpression of full-length BOK causes early fragmentation of ER and Golgi compartments. BOK-deficient cells showed abnormal responses to the Golgi/ER stressor brefeldin A. Enforced BOK expression in BAX/BAK-proficient cells activates the intrinsic apoptotic pathway, but BOK fails to kill cells lacking both BAX and BAK. |
Subcellular fractionation, immunofluorescence/confocal microscopy, BOK truncation constructs, Bok-/- MEFs, apoptosis assays |
Cell death and differentiation |
High |
23429263
|
| 2013 |
BOK binds strongly and constitutively to inositol 1,4,5-trisphosphate receptors (IP3Rs) in cells. BOK preferentially binds IP3R1 and IP3R2 but barely IP3R3. The binding site maps to a small region within the IP3R coupling domain (amino acids 1895–1903 of IP3R1). Essentially all cellular BOK is IP3R-bound in cells expressing substantial IP3Rs. BOK protects IP3Rs from proteolytic cleavage (by chymotrypsin in vitro and by caspase-3 in vivo) and regulates IP3R expression levels. Persistent IP3-dependent signaling triggers co-degradation of BOK and IP3R via the ubiquitin-proteasome pathway. |
Co-immunoprecipitation, in vitro pulldown, chymotrypsin protection assay, caspase-3 cleavage assay in apoptotic cells, IP3R truncation mutants |
The Journal of biological chemistry |
High |
23884412
|
| 2013 |
Loss of BOK combined with loss of BAX in Bok-/-Bax-/- female mice resulted in abnormally increased numbers of oocytes from different developmental stages in aged animals, indicating an overlapping pro-apoptotic function of BOK and BAX in age-related follicular atresia. Combined loss of BOK and BAK showed no noticeable phenotypic defects. |
Genetic knockout mouse model, histological analysis of ovaries |
Cell death & disease |
Medium |
23744350
|
| 2015 |
Bok-/- cells are selectively defective in apoptotic responses to ER stress stimuli (thapsigargin, A23187, brefeldin A, DTT, geldanamycin, bortezomib) but not to other apoptotic stimuli (etoposide, staurosporine, UV). BOK's predominant subcellular localization at the ER is consistent with this selective role. BAX and BAK cannot compensate for this ER stress apoptosis defect in BOK-deficient cells. Bok-/- cells also show diminished ATF4 and CHOP activation after ER stress. |
Bok-/- mouse embryonic fibroblasts, multiple ER stressor treatments, apoptosis assays, unfolded protein response (UPR) activation analysis, in vivo thapsigargin challenge |
Proceedings of the National Academy of Sciences of the United States of America |
High |
26015568
|
| 2016 |
BOK is a bona fide effector of mitochondrial outer membrane permeabilization (MOMP) that can trigger apoptosis in the absence of both BAX and BAK. Unlike BAX/BAK, BOK is constitutively active and unresponsive to antagonism by anti-apoptotic BCL-2 proteins. BOK is controlled at the level of protein stability: it is ubiquitylated by the AMFR/gp78 E3 ubiquitin ligase complex and targeted for proteasomal degradation in a VCP/p97-dependent manner. When proteasome function, VCP, or gp78 is compromised, BOK is stabilized and induces MOMP independently of other BCL-2 proteins. |
BAX/BAK double-knockout cells, proteasome inhibition, gp78/VCP knockdown, ubiquitylation assay, MOMP assay, apoptosis assay |
Cell |
High |
26949185
|
| 2016 |
BOK induces cytochrome c release and apoptosis independently of BAX and BAK in multiple cell systems. Endogenous BOK levels modulate apoptotic responses to chemotherapeutic drugs in ovarian carcinoma cells as shown by RNAi and targeted gene deletion of BOK. |
BAX/BAK-deficient cell systems, siRNA knockdown, CRISPR gene deletion, cytochrome c release assay, apoptosis assay |
Journal of cell science |
Medium |
27076518
|
| 2016 |
In neurons, BOK is not required for staurosporine-, proteasome inhibition-, or excitotoxicity-induced apoptosis. Instead, BOK-deficient neurons are more sensitive to oxygen/glucose deprivation and seizure-induced injury. BOK deficiency reduces neuronal MCL-1 protein levels and causes disrupted mitochondrial bioenergetics and calcium homeostasis in response to excitotoxic stimuli, which could be rescued by MCL-1 overexpression. BOK-deficient neurons activate poly ADP-ribose polymerase-dependent cell death. |
Bok-/- neurons, single-cell calcium imaging, mitochondrial bioenergetics assay, MCL-1 overexpression rescue, in vivo seizure model, cell death pathway analysis |
The Journal of neuroscience |
High |
27098698
|
| 2017 |
Recombinant BOK (BOK∆C) permeabilizes liposomes mimicking mitochondrial outer membrane composition, forming large stable toroidal pores. Pore formation is enhanced by cBID and is refractory to BCL-XL. However, isolated mitochondria from Bax-/-Bak-/- cells were resistant to BOK-induced cytochrome c release even in the presence of cBID, suggesting that BOK's direct MOMP activity at native mitochondria requires additional factors or regulation. |
In vitro liposome permeabilization assay, isolated mitochondria cytochrome c release assay, recombinant protein, cBID/BCL-XL addition |
The FEBS journal |
Medium |
28064468
|
| 2017 |
DNAJB12 (JB12), an ER-associated Hsp40 protein, is required to maintain BOK at low levels and is detected in complexes with JB12 and gp78. JB12 is degraded by ER-associated degradation complexes (containing HERP, Sel1L, gp78) during severe ER stress. JB12 knockdown leads to BOK accumulation and activation of Caspase 3, 7, and 9, sensitizing cells to proteotoxic agents. |
Co-immunoprecipitation, siRNA knockdown, caspase activation assay, proteasome inhibition |
The Journal of biological chemistry |
Medium |
28536268
|
| 2017 |
Myocardin-related transcription factor MAL/MRTF-A directly induces Bok transcription via a CArG-like box in the Bok promoter in an SRF-dependent and actin-regulated manner. Chromatin immunoprecipitation confirms inducible recruitment of MAL and SRF to the Bok promoter. MAL-dependent Bok induction occurs downstream of TNF and staurosporin stimulation. |
Luciferase reporter assay, ChIP, actin drug (latrunculin) treatment, siRNA knockdown |
Cell cycle (Georgetown, Tex.) |
Medium |
22185759
|
| 2018 |
NMR structure of the BCL-2 core of human BOK reveals a conserved BCL-2 architecture with an atypical hydrophobic groove that undergoes conformational exchange. The BCL-2 core of BOK spontaneously associates with purified mitochondria and releases cytochrome c. Alanine substitution of a unique glycine in helix α1 stabilizes BOK and significantly inhibits MOMP, liposome permeabilization, and cell death. Activated BID does not activate WT BOK or the stabilized mutant, supporting a metastability-driven (rather than BH3 ligand-driven) mechanism of BOK activation. |
NMR structure determination, thermal shift assay, urea denaturation, in vitro MOMP assay with purified mitochondria, liposome permeabilization assay, alanine mutagenesis, cell death assay |
Cell reports |
High |
29768206
|
| 2018 |
BOK structural analysis reveals close resemblance to BAX and BAK. Triple-knockout (Bok-/-Bax-/-Bak-/-) mice exhibit more severe developmental defects and die earlier than Bax-/-Bak-/- mice, demonstrating that BOK has overlapping roles with BAX and BAK during developmental cell death in vivo. |
Structural analysis, triple-knockout mouse generation, developmental phenotype analysis |
Cell |
High |
29775594
|
| 2018 |
The ceramide (CER)/BOK axis promotes mitochondrial fission in preeclamptic placentae. BOK expression is increased by CER 16:0. Loss- and gain-of-function experiments showed BOK positively regulates phospho-DRP1/DRP1 and MFN2 expression and localizes mitochondrial fission events to ER/MAM compartments. The BH3 and transmembrane domains of BOK are required for this regulation of fission. |
Loss- and gain-of-function experiments, CER treatment, DRP1/MFN2 expression analysis, transmission electron microscopy, BOK domain deletion constructs |
Cell death & disease |
Medium |
29463805
|
| 2018 |
The BH3 domain leucine-1 mutation (L70E) in BOK does not block apoptosis induction, but when combined with transmembrane domain deletion, the Bok(L70E)ΔTM double mutant shows enhanced pro-apoptotic activity by abolishing interaction with anti-apoptotic proteins, especially MCL-1. Deletion of the C-terminal transmembrane domain reduces pro-apoptotic function of BOK. The transmembrane domain thus contributes to BOK's interaction with and inhibition by MCL-1. |
Site-directed mutagenesis, domain deletion constructs, apoptosis assay, interaction analysis |
Scientific reports |
Medium |
30127460
|
| 2019 |
BOK is a positive regulator of uridine monophosphate synthetase (UMPS) activity. BOK expression enhances UMPS enzymatic activity, cell proliferation, and chemosensitivity to 5-fluorouracil (5-FU). Genetic deletion of Bok results in chemoresistance to 5-FU in cell lines and in vivo. Cancers resistant to 5-FU down-regulate BOK expression. |
Bok-/- cells and mice, UMPS activity assay, 5-FU sensitivity assay, cell proliferation assay |
Proceedings of the National Academy of Sciences of the United States of America |
Medium |
31311867
|
| 2019 |
Deletion of BOK expression by CRISPR/Cas9 significantly reduces mitochondrial fusion rate, resulting in mitochondrial fragmentation. This fragmentation phenotype is reversed by exogenous wild-type BOK and by an IP3R binding-deficient BOK mutant. BOK deletion also enhances mitochondrial spare respiratory capacity and membrane potential. BOK deletion does not alter IP3R-mediated Ca2+ signaling or Ca2+ influx into mitochondria. BOK deletion does not alter responsiveness to various apoptotic stimuli. |
CRISPR/Cas9 knockout, mitochondrial morphology analysis, mitochondrial fusion rate assay (photoactivatable GFP), Ca2+ mobilization assay, bioenergetics assay, BOK rescue constructs |
Cell death and differentiation |
High |
30976095
|
| 2020 |
The transmembrane domain (TMD) of MCL-1 forms homooligomers in the mitochondrial membrane and induces cell death in a BOK-dependent manner. The BOK TMD oligomers localize preferentially to the ER, while heterooligomerization between MCL-1 TMD and BOK TMD occurs predominantly at the mitochondrial membrane. Co-expression of MCL-1 and BOK TMDs increases ER-mitochondrial associated membrane (MAM) contacts. Cancer-associated somatic mutations in MCL-1 TMD alter the TMD interaction pattern. |
Split-GFP TMD interaction assay, subcellular localization analysis, BOK-dependent cell death assay, molecular dynamics simulation, mutant analysis |
Proceedings of the National Academy of Sciences of the United States of America |
Medium |
33093207
|
| 2021 |
BOK is necessary for baseline mitochondrial calcium levels and stimulus-induced calcium transfer from the ER to the mitochondria. Bok-/- MEFs have decreased proximity of the ER to the mitochondria and altered protein composition of mitochondria-associated membranes (MAMs). Drug-inducible ER-mitochondria linkers can overcome the proximity defect but fail to rescue thapsigargin-induced calcium transfer or apoptosis in Bok-/- cells. A BOK mutant unable to interact with IP3R restores ER-mitochondrial proximity but not calcium transfer, MAM protein composition, or apoptosis, showing that the BOK-IP3R interaction specifically governs calcium transfer. |
Bok-/- MEFs, mitochondrial calcium assay, ER-mitochondrial proximity assay (proximity ligation), chemically inducible organelle linkers, BOK IP3R-binding mutant, MAM proteomics, apoptosis assay |
Cell reports |
High |
33691099
|
| 2021 |
Proximity labeling (TurboID-Bok) revealed that Bok is proximal to proteins involved in mitochondrial fission (e.g., Drp1) and ER-plasma membrane junctions (e.g., Stim1). Among BCL-2 family members, Bok is proximal only to Mcl-1. When overexpressed, Mcl-1 and Bok interact physically and functionally in a manner dependent on the transmembrane domain of Bok. The Bok interactome is largely distinct from those of Mcl-1 and Bak. |
TurboID proximity labeling, mass spectrometry, co-immunoprecipitation, transmembrane domain deletion mutants |
Frontiers in cell and developmental biology |
Medium |
34136494
|
| 2021 |
Bok binds to a largely disordered loop in IP3R1 between α helices 72 and 73 (residues 1882–1957). The high-affinity binding site maps to amino acids 1898–1940 (Kd ~65 nM as measured with purified proteins and IP3R1-derived peptides). Binding is mediated by multivalent interactions with both the central low-disorder region and flanking high-disorder regions. Small deletions in the predicted transient helical elements (residues ~1914–1926) block Bok binding. |
Bioinformatic disorder prediction, in vitro pulldown with purified Bok and IP3R1 peptides, IP3R1 deletion/point mutants, membrane recruitment assay in cells |
Biochemical and biophysical research communications |
High |
33773141
|
| 2022 |
SARS-CoV-2 membrane (M) protein stabilizes BOK by inhibiting its ubiquitination and promotes BOK mitochondrial translocation. The endodomain of M protein is required for interaction with BOK. The BH2 domain of BOK is required for interaction with M protein and for pro-apoptotic activity. M protein can induce MOMP-independent apoptosis via BOK in the absence of BAX and BAK. BOK knockout (CRISPR) increases cellular resistance to M protein-induced apoptosis; BOK re-expression restores it. |
CRISPR/Cas9 BOK knockout, co-immunoprecipitation, ubiquitination assay, domain deletion mutants, apoptosis assay in BAX/BAK-deficient cells, in vivo lentiviral infection model |
Cell death and differentiation |
High |
35022571
|
| 2022 |
BOK-deficient cells have an attenuated unfolded protein response (UPR) across all three UPR signaling branches upon ER stress induction. FRAP experiments with GRP78/BiP-eGFP demonstrated that GRP78 motility is significantly lower in BOK-deficient cells, indicating more BiP is bound to unfolded proteins (reduced chaperone availability), establishing BOK as a regulator of ER proteostasis. |
UPR reporter cell lines, FRAP microscopy with GRP78-eGFP, Bok-/- neurons and cell lines |
Frontiers in cell and developmental biology |
Medium |
36060797
|
| 2022 |
Endogenous Bok is stable at the ER membrane and its stability is critically dependent on the presence of IP3Rs. In the absence of IP3Rs, endogenous Bok is rapidly degraded by the ubiquitin-proteasome pathway. Proteasome inhibitor-induced apoptosis is not mediated by endogenous Bok. Charged residues in the transmembrane region of Bok affect its stability, ability to interact with Mcl-1, and pro-apoptotic activity when over-expressed. This study reports that endogenous Bok does not play a major role in apoptotic signaling (negative finding regarding BOK as a constitutively active MOMP effector governed purely by proteasomal degradation). |
IP3R knockout cells, proteasome inhibition, ubiquitylation assay, Bok stability assays, transmembrane domain mutants, apoptosis assays |
Frontiers in cell and developmental biology |
Medium |
36601536
|
| 2024 |
The transmembrane domain (TMD) of anti-apoptotic BCL-2 interacts with the TMD of BOK at the ER membrane, as demonstrated by split-luciferase assay in living cells and confirmed by molecular dynamics simulations showing stable BOK-TMD/BCL-2-TMD heterotetramers. Mutation of BCL-2-TMD at predicted key residues abolishes interaction with BOK-TMD. Inhibition of BOK-induced apoptosis by BCL-2 depends specifically on their TMD interaction, revealing a novel TMD-mediated apoptosis regulation mechanism. |
Split luciferase assay in living cells, molecular dynamics simulation, site-directed mutagenesis of BCL-2-TMD, subcellular localization, apoptosis assay |
EMBO reports |
High |
39048751
|
| 2025 |
BOK directly suppresses IP3R1-mediated Ca2+ mobilization. Specifically, Bok accelerates the post-maximal decline in GPCR-induced cytosolic Ca2+ by suppressing IP3R-dependent Ca2+ release from the ER. This effect requires the Bok-IP3R interaction (only seen with IP3Rs that bind Bok, e.g., IP3R1). Ser-8 phosphorylation of BOK by cAMP-dependent protein kinase weakens Bok-IP3R1 interaction and reverses Bok's suppressive effect on IP3R1-mediated Ca2+ mobilization. |
Fluorescent Ca2+-sensitive dye and genetically encoded Ca2+ sensor assays, PKA phosphorylation of purified proteins, mass spectrometry, phosphomimetic substitution (Ser-8), GPCR agonist stimulation, IP3R1-expressing cell systems |
Cell communication and signaling |
High |
39810210
|
| 2017 |
BOK expression is negatively regulated post-transcriptionally by TRIM28 binding to conserved AU/U-rich elements in the human BOK 3' UTR. TRIM28 was identified as a key regulatory component by proteomics approaches, and its recruitment to the 3' UTR results in dramatic reduction of BOK expression. |
Proteomics/mass spectrometry identification, RNA pulldown, reporter assay, TRIM28 knockdown |
iScience |
Medium |
30471638
|
| 2017 |
miR-296-5p regulates BOK expression by binding to its 3' UTR in breast cancer cells. Ectopic BOK expression induces MCL-1 upregulation, while MCL-1 silencing reduces BOK levels, forming a regulatory feedback loop. Glycogen synthase kinase (GSK3) α/β interacts with BOK and regulates its protein level post-translationally. |
3'-UTR luciferase reporter assay, co-immunoprecipitation (GSK3-BOK), BOK/MCL-1 siRNA knockdown, Western blot |
Oncotarget |
Medium |
29156771
|
| 2025 |
BCL-B interacts directly with BOK and can mitigate BOK-mediated cell death. This interaction promotes sublethal MOMP, generating apoptosis-flatliners that serve as drug-tolerant persister cells with enhanced invasiveness via EMT. |
Co-immunoprecipitation, sublethal MOMP assay, apoptosis-flatliner identification, EMT assay |
Cells |
Low |
39996719
|
| 2026 |
BOK interacts with and increases UMPS enzymatic activity to promote UMP synthesis. BOK deficiency increases baseline DNA damage and p53 activation. In p53-deficient NSCLC cells, BOK loss elevates DNA damage and increases dependence on ATR-mediated repair, creating a synthetic lethal interaction with the ATR inhibitor ceralasertib. The DNA damage in BOK-deficient cells was rescued by a cell-permeable BOK-BH3-derived peptide, linking BOK's effect on genomic stability to its UMPS-regulatory function. |
UMPS activity assay, Bok-deficient NSCLC cell lines, ATR inhibitor (ceralasertib) treatment, DNA damage markers, BOK-BH3 peptide rescue, p53-deficient cell models |
Cell death and differentiation |
Medium |
41611842
|
| 2026 |
EGR3 is a transcription factor that directly binds to the BOK gene promoter to transcriptionally activate BOK expression, as demonstrated by ChIP and dual luciferase reporter assays. BOK promotes mitochondrial apoptosis in response to arsenic exposure downstream of EGR3. |
ChIP, dual luciferase reporter assay, EGR3/BOK overexpression/knockdown, apoptosis assay |
Phytomedicine |
Medium |
42097002
|