In the last decade a tremendous progress has been achieved in understanding
the control of apoptosis by survival and death factors as well as the mole
cular mechanisms of preparation and execution of the cell's suicide, Howeve
r, accumulating evidence suggests that programmed cell death (PCD) is not c
onfined to apoptosis but that cells use different pathways for active self
destruction as reflected by different morphology: condensation prominent, t
ype I or apoptosis; autophagy prominent, type II; etc. Autophagic PCD appea
rs to be a phylogenetically old phenomenon, it may occur in physiological a
nd disease states. Recently, distinct biochemical and molecular features ha
ve been be assigned to this type of PCD. However, autophagic and apoptotic
PCD should not be considered as mutually exclusive phenomena, Rather, they
appear to reflect a high degree of flexibility in a cell's response to chan
ges of environmental conditions, both physiological or pathological, Furthe
rmore, recent data suggest that diverse or relatively unspecific signals su
ch as photodamage or lysosomotropic agents may be mediatd by lysosomal cyst
eine proteases (cathepsins) to caspases and thus, apoptosis, The present pa
per reviews morphological, functional and biochemical/molecular data sugges
ting the participation of the autophagosomal-lysosomal compartment in progr
ammed cell death.