Programmed cell death, or apoptosis, has in the past few years undoubt
edly become one of the most intensively investigated biological proces
ses, However, fundamental questions concerning the molecular and bioch
emical mechanisms remain to be elucidated, The central question concer
ns the biochemical steps shared by the numerous death induction pathwa
ys elicited by different stimuli, Heterogeneous death signals precede
a common effector phase during which cells pass a threshold of 'no ret
urn' and are engaged in a degradation phase where they acquire the typ
ical onset of late apoptosis, Alterations in mitochondrial permeabilit
y transition linked to membrane potential disruption precede nuclear a
nd plasma membrane changes. In vitro induction of permeability transit
ion in isolated mitochondria provokes the release of a protein factor
capable of inducing nuclear chromatin condensation and fragmentation,
This permeability transition is regulated by multiple endogenous effec
ters, including members of the bcl-2 gene family, Inhibition of these
effects prevents apoptosis.