“…NS4A expression in Huh7 cells induces cell death, decreases Δψm, induces cytochrome c release and caspase 3, but not caspase 8, activation, strongly suggesting that NS4A induces apoptosis through the mitochondria-mediated pathway [47]. NS4B was also found to induce apoptosis via the mitochondrial death pathway in Huh7 cells, where it induced cytochrome c release and Δψm decrease, coupled with caspase 3, 7 and 9 activation and PARP cleavage [141]; however, in U-2 OS cells, its action was caspase-independent [134]. NS5A has been shown to inhibit apoptosis by induction of survivin expression, an inhibitor of caspases [142], by blocking cytochrome c release [143], by the sequestration of p53 in the cytoplasm to prevent pro-apoptotic gene transcription [144] and by activation of the PKB/Akt and NFkB signaling pathways [96,145].…”