During the development of the vertebrate nervous system, up to 50 perc
ent or more of many types of neurons normally die soon after they form
synaptic connections with their target cells. This massive cell death
is thought to reflect the failure of these neurons to obtain adequate
amounts of specific neurotrophic factors that are produced by the tar
get cells and that are required for the neurons to survive. This neuro
trophic strategy for the regulation of neuronal numbers may be only on
e example of a general mechanism that helps to regulate the numbers of
many other vertebrate cell types, which also require signals from oth
er cells to survive. These survival signals seem to act by suppressing
an intrinsic cell suicide program, the protein components of which ar
e apparently expressed constitutively in most cell types.