Apoptosis: Mechanisms, Causes, and Morphological Features
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Apoptosis
“A pattern of cell death in which cells activate enzymes that degrade the cell's own nuclear DNA and nuclear and cytoplasmic proteins.”
Causes
I. Physiologic (Most Common)
- Programmed destruction of cells during embryogenesis.
- Hormone-dependent involution of tissues in the adult (e.g., endometrium).
- Cell loss in proliferating cell populations, such as epithelial cells in intestinal crypts.
- Death of host cells after serving their useful purpose (e.g., neutrophils in an acute inflammatory response).
II. Pathologic
- DNA damage due to radiation, cytotoxic drugs, and hypoxia.
- Accumulation of misfolded proteins causing endoplasmic reticulum (ER) stress (e.g., degenerative diseases of the CNS).
- Cell death associated with viral infections, such as