Notch-ligand interactions are a highly conserved mechanism that regulates c
ell fate decisions. Over the past few years, numerous observations have sho
wn that this mechanism operates to regulate cell differentiation in an enor
mous variety of developmental and cell maturation processes. Recent studies
indicate that in addition to cell differentiation, Notch signaling has dir
ect effects on proliferation and programmed cell death. The picture emergin
g from these findings suggests that, depending on cellular and developmenta
l context, Notch signaling may function as a general "arbiter" of cell fate
, regulating differentiation potential, rate of proliferation, and apoptoti
c cell death. In this review, we briefly summarize the current knowledge of
the structure and function of Notch receptors and discuss the recent evide
nce that Notch signaling regulates apoptotic cell death. The possible mecha
nisms of this effect and its potential implications for developmental biolo
gy, immunobiology, neuropathology, and tumor biology are discussed. (C) 199
9 Wiley-Liss, Inc.