Detection of apoptotic cell death in cells and tissues has become of paramo
unt importance in many fields of modern biology, including studies of embry
onic development, degenerative disease, and cancer biology. In addition to
methods that employ biochemical analysis of large populations of cells, cyt
ochemical methods have recently been extensively used both in individual ce
lls and in tissues. Most of these methods exploit properties of dying cells
that are more or less specific for the apoptotic process. However, conside
rable confusion exists over the interpretation of some of these methods and
their usefulness in all settings. This review attempts to summarize the mo
re recent advances in cytochemical detection of apoptosis and emphasizes so
me of the pitfalls that confuse the interpretation of results of these meth
ods.