the phenomenon for the present discussion has been the well - documented
involvement of mitochondria or mitochondrial functions.
It has become useful to subdivide the process of apoptosis into several
phases or stages. The fi nal phase encompasses a number of characteristic
changes such as cell shrinkage, chromatin degradation and nuclear fragmenta-
tion, and loss of plasma membrane integrity. It appears that these changes are
essential for rapid recognition of the dying cell by its neighbors, which phago-
cytose the remnants and effi ciently eliminate any debris that would otherwise
cause an infl ammatory response by the immune system. As a consequence,
“ dead ” cells from apoptosis are not readily seen in vivo in intact tissue, and
the description of this terminal phase rests largely on observations in tissue
culture.
The fi rst phase includes the description of the various stimuli or signals
that induce apoptosis in different cells. The stimulus may be an external one,
received by a cell surface receptor, or an internal one, as the result of the action
of a drug, toxin, or radiation damage. Of course, drugs, toxins, and radiation
are also ultimately external infl uences, but the difference between these two
mechanisms becomes apparent during the following phase: the signal trans-
duction, which leads to changes in metabolic state, induction of various enzymes
(proteases, nucleases), and the morphological changes preceding cell death.
Needless to say, these two signaling pathways may converge at some level, but
at the same time the above description should not give the impression of a
simple, universal and invariable pathway operating in all cells under all condi-
tions. Deprivation of growth factors (e.g., interleukin - 3 for hematopoietic
progenitor cells) induces apoptosis; that is, unoccupied receptors can stimulate
apoptosis. Failure to stimulate germinal center B cells by antigens causes them
to die. Transforming growth factor β and tumor necrosis factor can trigger
apoptosis in various cell types. Many more examples could be given (247, 250) .
It should be clear that these signal transduction pathways include most, if not
all, of the following known reactions, intermediates, and interactions: tyrosine
kinases, phosphatases, steroid receptors, inositol phosphates, transcriptional
activators and factors, and so on.
There is usually a signifi cant time interval (several hours) between the
delivery of the fi rst stimulus and the observation of morphological changes in
the targeted cells. It is also during this interval that thresholds or checkpoints
are reached beyond which the process becomes irreversible. Many details of
events occurring during this effector phase remain elusive and are the subject
of a very active research.
As mentioned above, the nematode, C. elegans , continues to be a useful
model system, and it was in this model system that the fi rst genes specifi cally
associated with apoptosis were isolated (ced1, ced - 2, ced - 3, . . . , ced - 10, etc.).
Many of these genes were subsequently shown to be required for the disposal
of the dead cell(s), and hence their detailed description will be omitted here.
The Ced - 3 gene, however, was identifi ed to encode a cysteine protease, and
many different homologues have since been found in mammalian cells. The
MITOCHONDRIA AND APOPTOSIS 391