The induction phase of programmed cell death (PCD) or apoptosis is cha
racterized by an extreme heterogeneity of potential PCD-triggering sig
nal transduction pathways. During the subsequent effector phase, the n
umerous PCD-inducing stimuli converge into a few stereotypical pathway
s and cells pass a 'point of no return', thus becoming irreversibly co
mmitted to death. Evidence is accumulating that cytoplasmic structures
, including mitochondria, participate in the critical effector stage a
nd that alterations usually considered to define apoptosis, as nuclear
chromatolysis and cytolysis, have to be ascribed to the late degradat
ion phase. We and others have recently shown that nuclear features of
apoptosis are preceded by alterations in mitochondrial function and st
ructure. The importance of these alterations for the apoptotic process
and also the possible link between, these observations, the permeabil
ity transition pore and the programmed cell death, are discussed.