Apoptosis, or programmed cell death, is a genetically controlled metho
d of regulating cell mass. The process is characterized by distinct mo
rphologic and bio-chemical features, including cell shrinkage,membrane
blebbing, chromatin condensation, DNA fragmentation, externalization
of phosphatidylserine, and initiation of apoptotic signal transduction
. The cascade of biochemical reactions initiated by apoptosis may incl
ude blew mRNA, and protein synthesis, p53 expression, caspase activati
on, caspase-activated endonuclease action and/or Fas lignad/tumor necr
osis factor receptor death domain activation. The pathophysiology of s
everal disease including autoimmune disorders may be caused by excessi
ve or depressed levels of apoptotic activity.