In Caenorhabditis elegans necrosis-like neuronal death is induced by g
ain-of-function (gf) mutations in two genes, mec-4 and deg-1, that enc
ode proteins similar to subunits of the vertebrate amiloride-sensitive
epithelial Na+ channel. We have determined the progress of cellular p
athology in dying neurons via light and electron microscopy. The first
detectable abnormality is an infolding of the plasma membrane and the
production of small electron-dense whorls. Later, cytoplasmic vacuole
s and larger membranous whorls form, and the cell swells. More slowly,
chromatin aggregates and the nucleus invaginates. Mitochondria and Go
lgi are not dramatically affected until the final stages of cell death
when organelles, and sometimes the cells themselves, lyse. Certain ce
lls, including some muscle cells in deg-1 animals, express the abnorma
l gene products and display a few membrane abnormalities but do not di
e. These cells either express the mutant genes at lower levels, lack o
ther proteins needed to form inappropriately functioning channels, or
are better able to compensate for the toxic effects of the channels. O
verall, the ultrastructural changes in these deaths suggest that enhan
ced membrane cycling precedes vacuolation and cell swelling. The patho
logy of mec-4(gf) and deg-1(gf) cells shares features with that of gen
etic disorders with alterations in channel subunits, such as hypokalem
ic periodic paralysis in humans and the weaver mouse, and with degener
ative conditions, e.g., acute excitotoxic death. The initial pathology
in all of these conditions may reflect attempts by affected cells to
compensate for abnormal membrane proteins or functions.