Apoptosis is the process whereby individual cells of multicellular org
anisms undergo systematic self-destruction in response to a wide varie
ty of stimuli. Apoptosis is a genetically controlled preprogrammed eve
nt which eliminates cells during development when they have become red
undant or which functions as an emergency response after radiation dam
age, viral infection, or aberrant growth induced by the activation of
oncogenes. In the case of virus-infected cells, the induction of early
cell death would severely limit virus production and reduce or elimin
ate spread of progeny virus in the host. Thus, most animal viruses hav
e evolved strategies to evade or delay early apoptosis to allow produc
tion of high yields of progeny virus. Over the past few years both the
biochemical basis of apoptosis and its regulation by viral products h
ave become clearer. For example, part of the apoptotic program include
s the induction of cellular endonucleases which could target replicati
ng viral DNA and prevent virus production at a very early stage. Thus,
the problem facing the virus is to replicate and package large number
s of progeny genomes safely within newly synthesized viral capsids. Ma
ny viruses have evolved genes encoding proteins which effectively supp
ress or delay apoptosis long enough for the production of sufficient q
uantities of progeny. In addition, a growing number of viruses are now
known to induce apoptosis actively at late stages of infection. This
process may represent a final and important step in the spread of prog
eny to neighboring cells while also evading host immune inflammatory r
esponses and protecting progeny virus from host enzymes and antibodies
. Such virally induced apoptosis may also contribute to some clinical
manifestations and cytotoxicity associated with several human diseases
of viral origin. The purpose of this review is to summarize recent in
formation on the induction and suppression of apoptosis by viral produ
cts as well as to propose how this knowledge may provide insights into
basic cell biology and offer the potential of new therapeutic applica
tions. A recent comprehensive review by Shen and Shenk (75) also deals
with some aspects of the subjects covered below.