Original Paper

Apoptosis

, Volume 13, Issue 4, pp 463-482

First online:

Secondary necrosis in multicellular animals: an outcome of apoptosis with pathogenic implications

  • Manuel T. SilvaAffiliated withFish Immunology and Vaccinology, IBMC-Instituto de Biologia Molecular e Celular, Universidade do Porto Email author 
  • , Ana do ValeAffiliated withFish Immunology and Vaccinology, IBMC-Instituto de Biologia Molecular e Celular, Universidade do Porto
  • , Nuno M. N. dos SantosAffiliated withFish Immunology and Vaccinology, IBMC-Instituto de Biologia Molecular e Celular, Universidade do Porto

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Abstract

In metazoans apoptosis is a major physiological process of cell elimination during development and in tissue homeostasis and can be involved in pathological situations. In vitro, apoptosis proceeds through an execution phase during which cell dismantling is initiated, with or without fragmentation into apoptotic bodies, but with maintenance of a near-to-intact cytoplasmic membrane, followed by a transition to a necrotic cell elimination traditionally called “secondary necrosis”. Secondary necrosis involves activation of self-hydrolytic enzymes, and swelling of the cell or of the apoptotic bodies, generalized and irreparable damage to the cytoplasmic membrane, and culminates with cell disruption. In vivo, under normal conditions, the elimination of apoptosing cells or apoptotic bodies is by removal through engulfment by scavengers prompted by the exposure of engulfment signals during the execution phase of apoptosis; if this removal fails progression to secondary necrosis ensues as in the in vitro situation. In vivo secondary necrosis occurs when massive apoptosis overwhelms the available scavenging capacity, or when the scavenger mechanism is directly impaired, and may result in leakage of the cell contents with induction of tissue injury and inflammatory and autoimmune responses. Several disorders where secondary necrosis has been implicated as a pathogenic mechanism will be reviewed.

Keywords

Apoptotic secondary necrosis Apoptosis Necrosis Clearance Autoimmunity Infection