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Overview of Cell Death

Mechanisms and Types of Cell Death

Cells can die in a number of different manners, depending on the cellular context and triggering stimulus.

Types of Cell Death

Cell death mechanisms include:

  • Apoptosis - programmed cell death that occurs during growth and development and can also occur in response to harmful environmental stimuli.
  • Necrosis - can be a passive or an active, regulated process such as necroptosis or pyroptosis.

Different assays can be used to determine the mechanism of cell death or rule out a mechanism of cell death within a cellular population.

Apoptosis

Apoptosis is a highly regulated form of programmed cell death that occurs in multicellular organisms during development, throughout the lifespan, and in response to cellular stress. Apoptosis is mediated by a family of proteolytic enzymes called caspases. Other proteins, including proapoptotic and antiapoptotic proteins, also play important roles.

Dysregulation of apoptosis occurs in several disease states, including autoimmune disorders, neurodegenerative diseases, and cancer.

Apoptosis is a form of programmed cell death mediated by caspases and a host of other proteins.


Regulation of Apoptosis: Interactive Pathway >>

How to Measure Apoptosis

Apoptotic cells can be distinguished from viable cells by phenotypic changes and activity of certain proteins. Several different methods can be used to analyze and measure levels of apoptosis within a population. These assays include:

Assay

Annexin V assay

What is Measured

Detects changes that occur to the lipid bilayer early in apoptosis


Assay

TUNEL Kits
DNA fragmentation which is a hallmark of apoptosis

What is Measured


Assay

Caspase cleavage

What is Measured

Cleavage of caspase-3caspase activity assay, and cleavage of other caspases and PARP are frequently used readouts for apoptosis


Assay

Chromatin condensation

What is Measured

Detects apoptotic cells with condensed chromatin after staining with nuclear dyes, such as DAPI or Hoechst 33342


Assay

Cytochrome c release

What is Measured

Translocation of cytochrome c from mitochondria to the cytoplasm is a hallmark feature of apoptotic cells


Assay

Mitochondrial membrane potential assay

What is Measured

Depolarization and subsequent decrease of the mitochondrial membrane potential is a hallmark feature of apoptotic cells

Necrosis

Necrosis has been classically defined as an unprogrammed cell death that occurs following acute injury or infection or when apoptosis is inhibited and is characterized by cellular swelling and lysis. Necrotic cells release intracellular contents into the surrounding environment, which activates an inflammatory response to recruit phagocytes to clear dead cells. Uncontrolled, however, necrosis can cause severe tissue damage, such as gangrene.

While it was previously thought that necrosis was passive and unprogrammed, recent data have uncovered different types of regulated necroptotic pathways.

Types of Regulated Necrosis

In addition to necrosis, other lytic cell death mechanisms include:

  • Necroptosis - a programmed and regulated form of necrosis which requires RIP3 and MLKL and is activated by pro-inflammatory signaling as well as ischemic injury and viral infection.
  • Pyroptosis - a form of programmed lytic cell death that typically occurs in immune cells in response to microbial or viral infection and requires caspase-1 and gasdermin-D

How to Measure Necroptosis:

Necroptosis Marker

RIP

Necroptosis Marker Description

Ser/Thr kinase that regulates inflammation and cell death


Necroptosis Marker

RIP3

Necroptosis Marker Description

Ser/Thr kinase that is required for necroptosis


Necroptosis Marker

Phospho-RIP

Necroptosis Marker Description

Activated RIP associates with RIP3 to trigger necroptosis


Necroptosis Marker

Phospho-RIP3

Necroptosis Marker Description

Activation of RIP3 leads to phosphorylation of MLKL


Necroptosis Marker

MLKL

Necroptosis Marker Description

Downstream protein target of RIP3


Necroptosis Marker

Phospho-MLKL

Necroptosis Marker Description

Phosphorylation of MLKL leads to pore formation and is a marker for necroptotic cells

How to Measure Pyroptosis:

Pyroptosis Marker

Inflammasome formation

Pyroptosis Marker Description

Pyroptosis is characterized by the formation of the inflammasome; a marker for the inflammasome is NLRP3


Pyroptosis Marker

Caspase-1 activity

Pyroptosis Marker Description

Cleavage of caspase-1 is a marker for its activity. Activated caspase-1 cleaves IL-1β and gasdermin D


Pyroptosis Marker

Gasdermin cleavage

Pyroptosis Marker Description

Cleavage of gasdermin-D occurs during pyroptosis lead to pore formation

How to Assess Necrosis:

Necrosis Marker

High mobility group protein B1 (HMGB1)

Necrosis Marker Description

Nuclear protein that is released into the extracellular environment during necrotic, but not apoptotic, cell death


Necrosis Marker

Lactate dehydrogenase A (LDHA)

Necrosis Marker Description

Cytosolic enzyme released into the extracellular space during necrotic cell death


Necrosis Marker

Interleukin-1β (IL-1β)

Necrosis Marker Description

Proinflammatory cytokine released during necrosis