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               554                                                                                Cell Death (Apoptosis)


               at least some apoptotic cells. Thus, although various fac-  ACKNOWLEDGMENT
               tors participating in phagocytosis have been identified, it
               will be necessary to find further components involved in  I thank all members of Dr. Nagata’s laboratory in Osaka Bioscience
               this process to understand the molecular mechanism of  Institute and Osaka University Medical School for helping during my
               clearance of apoptotic cells in our bodies.       initial works. I am grateful to Drs. S. Nagata and H. Sakahira in Osaka
                                                                 University Medical School for helpful comments on the manuscript and
                                                                 to Dr. C. Weissmann at the Imperial College School of Medicine for
                                                                 supports, discussion, and encouragement.
               IX. PERSPECTIVES

               Not only cell growth and differentiation factors but also  SEE ALSO THE FOLLOWING ARTICLES
               death factors regulate homeostasis of organisms. The
               death factors activate a caspase cascade through their spe-
                                                                 CHROMATIN STRUCTURE AND MODIFICATION • GENE
               cific receptors. Although it is said that procaspase-8 is self-
                                                                 EXPRESSION,REGULATION OF • IMMUNOLOGY-AUTO-
               cleaved simply following activation by oligomerization,
                                                                 IMMUNITY • MAMMALIAN CELL CULTURE • RIBOZYMES
               the precise mechanism is still unclear. Some unknown
                                                                 • TRANSLATION OF RNA TO PROTEIN
               additional factor(s) may be required for this process to
               generate active caspase-8 more efficiently and remain to
               be identified by future analyses. Furthermore, it is known
               that there is caspase-independent apoptosis. It would be  BIBLIOGRAPHY
               important to investigate what kinds of factors are involved
               in such apoptotic pathways. The mechanism of apoptotic  Budihardjo, I., Oliver, H., Lutter, M., Luo, X., and Wang, X. (1999).
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               DNAfragmentationhasbeenlargelyclarifiedbybiochem-
                                                                   Rev. Cell Dev. Biol. 15, 269–290.
               ical approaches, but the mitochondrial pathway for death
                                                                 Bratton, S. B., MacFarlane, M., Cain, K., and Cohen, G. M. (2000).
               signals remains elusive. How are apoptotic signals trans-  “Proteincomplexesactivatedistinctcaspasecascadesindeathreceptor
               duced in mitochondria? Which factors participate in mi-  and stress-induced apoptosis,” Exp. Cell Res. 256, 27–33.
               tochondrial apoptosis? Cell-free systems using isolated  Ferri, K. F., and Kroemer, G. (2000). “Control of apoptotic DNA degra-
               mitochondria may lead to a satisfactory solution of these  dation,” Nat. Cell Biol. 2, E63-4.
                                                                 Green, D. R., and Reed, J. C. (1998). “Mitochondria and apoptosis,”
               problems.
                                                                   Science 281, 1309–1312.
                 Cell death occurs without cell-autonomous DNA degra-  Liu, Q. A., and Hengartner, M. O. (1999). “The molecular mechanism
               dation in cells devoid of CAD activity and developmental  of programmed cell death in C,” Elegans. Ann. N. Y. Acad. Sci. 887,
               processes appear to be normal (without drastic changes)  92–104.
               despite the lack of functional CAD. Why has a compli-  Nagata, S. (1997). “Apoptosis by death factor,” Cell 88, 355–365.
                                                                 Nagata, S. (2000). “Steering anti-cancer drugs away from the TRAIL,”
               cated CAD/ICAD system evolved in our bodies? One pos-
                                                                   Nat. Med. 6, 502–503.
               sibility is that this system precludes the transformation of  Nagata, S. (2000). “Apoptotic DNA fragmentation,” Exp. Cell Res. 256,
               phagocytes by dangerous genes such as oncogenes or vi-  12–18.
               ral genes. Another possibility is that the cell-autonomous  Raff, M. (1998). “Cell suicide for beginners,” Nature 396, 119–122.
                                                                 Stroh, C., and Schulze-Osthoff, K. (1998). “Death by a thousand cuts:
               DNA fragmentation mechanism reduces autoimmune re-
                                                                   An ever-increasing list of caspase substrates,” Cell Death Diff. 5, 997–
               sponses against nucleosomal DNA, which is known as
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               apoptotic cells during developmental processes could lead  Science 281, 1312–1316.
               to autoimmunity. Alternatively, the CAD/ICAD system  Yeh, W. C., Hakem, R., Woo, M., and Mak, T. W. (1999). “Gene targeting
                                                                   in the analysis of mammalian apoptosis and TNF receptor superfamily
               may promote the recycling of the DNA components. Anal-
                                                                   signaling,” Immunol. Rev. 169, 283–302.
               yses of CAD/ICAD system-deficient mice may cast light
                                                                 Wyllie, A. H., Kerr, J. F. R., and Currie, A. R. (1980). “Cell death: The
               on these questions. Furthermore, the number of genes rec-  significance of apoptosis,” Int. Rev. Cytol. 68, 251–306.
               ognized as being involved in phagocytosis of apoptotic  Wyllie, A. H. (1980). “Glucocorticoid-induced thymocyte apoptosis is
               cells is gradually increasing due to genetic and molecu-  associated with endogenous endonuclease activation,” Nature 284,
               lar biological analyses. Thus, the understanding of detail  555–556.
                                                                 Zhang, J., Liu, X., Scherer, D. C., van Kaer, L., Wang, X., and Xu, M.
               molecular mechanisms of apoptosis deepens as science is
                                                                   (1998). “Resistance to DNA fragmentation and chromatin condensa-
               progressed, so the elucidation of overall mechanisms for  tion in mice lacking the DNA fragmentation factor 45,” Proc. Natl.
               apoptosis through death receptors may not be so far off.  Acad. Sci. U.S.A. 95, 12480–12485.
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