In the present report, we demonstrate that reduction of cellular ATP c
ontent with antimycin A blocks actinomycin D-induced apoptotic cell de
ath in HeLa cells. Compared to cells (similar to 80%) treated with act
inomycin D (1 mu g/ml; 48 h) alone in glucose-containing medium, a muc
h smaller percentage of cells (similar to 20%) treated with actinomyci
n D in the presence of antimycin A in glucose-free medium shows morpho
logical characteristic of apoptosis. ATP-depleted cells with or withou
t actinomycin D treatment, on the other hand, die necrotically. In cel
ls under actinomycin D short exposure treatment (1 mu g/ml; 1 h), apop
tosis occurs when cellular ATP content is rapidly recovered after the
removal of antimycin A and resupplementation of glucose-containing med
ium. In the incubation of isolated Triton-permeabilized cells with ATP
(>0.5 mM), apoptotic nuclei become abundant 4 h after ATP treatment.
These results implicate the requirement of ATP for the induction of ap
optosis.