Several molecular elements of programmed cell death and apoptosis have
recently been revealed. The function of gene products which deliver t
he lethal 'hit' is still not known. Well-characterized and newly disco
vered cell surface structures (e.g. antigen receptors, FAS/APO-1), as
well as transcriptional factors (steroid receptor, c-myc, P53, retinob
lastoma protein and others), have been implicated in the initiation of
the death pathway. Negative regulators of the process (ced-9 gene pro
duct in programmed death of cells in Chaenorhabditis elegans and bcl-2
protein in apoptosis) have been described. Biochemical mechanisms res
ponsible for the silent nature of natural deaths of cells include thei
r rapid engulfment (mainly through integrin receptors), transglutamina
se-catalyzed cross-linking of cellular proteins, and fragmentation of
DNA. Several lines of evidence suggest that distinct molecular mechani
sms may operate in various forms of natural cell death.