Shigella flexneri, an etiological agent of bacillary dysentery, causes
apoptosis in vitro. Here we show that it also induces apoptosis in vi
vo. We were able to quantify the number of apoptotic cells in rabbit P
eyer's patches infected,vith S. flexneri by detecting cells with fragm
ented DNA. Infection with virulent S. flexneri results in massive numb
ers of apoptotic cells within the lymphoid follicles. In contrast, nei
ther an avirulent strain nor an avirulent strain capable of colonizing
Peyer's patches increases the background level of apoptotic cells. Ma
crophages, T cells, and B cells are shown to undergo apoptosis in vivo
. These results indicate that apoptosis may play a crucial role in the
pathogenesis of shigellosis.