Clustering of apoptotic cells is a characteristic of many developing or ren
ewing systems, suggesting that apoptotic cells kill bystanders. Bystander k
illing can be triggered experimentally by inducing apoptosis in single cell
s and may be based on the exchange of as yet unidentified chemical cell dea
th signals between nearby cells without the need for cell-to-cell communica
tion via gap junctions. Here we demonstrate that apoptotic cell clusters oc
curred spontaneously, after serum deprivation or p53 transfection in cell m
onolayers in vitro. Clustering was apparently induced through bystander kil
ling by primary apoptotic cells. Catalase, a peroxide scavenger, suppressed
bystander killing, suggesting that hydrogen peroxide generated by apoptoti
c cells is the death signal. Although p53 expression increased the number o
f apoptoses, clustering was found to be similar around apoptotic cells whet
her or not p53 was expressed, indicating that there is no specific p53 cont
ribution to bystander killing. Bystander killing through peroxides emitted
by apoptotic cells may propagate tissue injury in different pathological si
tuations and be relevant in chemo-, gamma-ray, and gene therapy of cancer.