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Differences Between Apoptosis and Necrosis.

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Apoptosis is a programmed and controlled cell death, while necrosis is an uncontrolled and accidental cell death. Read the article below to know more.

Medically reviewed by

Dr. Mona Kamal Farid Zaki

Published At June 16, 2023
Reviewed AtJune 16, 2023

Introduction

The process of cell death is influenced by the mode of death. Apoptosis and necrosis are the two primary forms of cell death, each with distinct mechanisms and implications for the organism. This article focuses on the differences between apoptosis and necrosis, as well as their causes, mechanisms, and similarities.

What Is Cell Apoptosis?

Apoptosis, commonly referred to as programmed cell death, is a normal mechanism of growth and development in an organism. It is also referred to as "cellular suicide" since the cell actively contributes to its own demise.

Similar to multicellular organisms, individual cells in the body have a finite lifespan. Although some may have a longer life than others, they ultimately perish to be substituted with fresh and healthy ones. Apoptosis is a vital process that helps sustain the equilibrium of cell proliferation. Without apoptosis, uncontrolled cell growth may arise, leading to the development of tumors and other complications.

What Causes Apoptosis?

Apoptosis is caused by a variety of factors, both internal and external, to the cell. Internally, it is a natural process that occurs as part of the cell cycle. During mitosis, cells divide and replicate their DNA (deoxyribonucleic acid), but some cells are programmed to die in order to maintain a healthy balance of cells in the body. This self-generated apoptosis is triggered by a complex signaling network that involves various molecules, enzymes, and proteins. One of the key players in this process is a group of enzymes called caspases, which cleave specific proteins and initiate the cascade of events that lead to cell death.

External factors can also induce apoptosis. For example, cells can be exposed to stressors such as lack of oxygen (hypoxia), high temperature, or exposure to certain chemicals, which can trigger apoptosis as a protective mechanism.

Additionally, the immune system can also induce apoptosis as a means of eliminating damaged or infected cells. This is particularly important in the case of viral infections, where infected cells can be targeted and eliminated by the immune system.

Apoptosis is useful for keeping the body healthy, but if it happens too much or too little, it can cause problems. If it happens too little, cells might grow uncontrollably, and if it happens too much, it could cause diseases like AIDS or Crohn’s disease.

What Are the Steps of Apoptosis?

Apoptosis is a carefully regulated process that does not harm surrounding cells. The cell undergoes a process of dehydration and shrinkage until it breaks into fragments without any visible changes in its shape. Instead of releasing into the environment, the cell contents are packaged into small vesicles called apoptotic bodies for removal. This enables the cell to die in a controlled manner without causing inflammation. When a cell dies, scientists can tell whether it happened normally or not by looking at the nucleus of the cell. They check for something called chromatin condensation, which helps them tell if the cell died naturally or if something went wrong.

What Is Cell Necrosis?

When cells are exposed to extreme conditions, they may die in a way called necrosis. This happens when cells experience damage beyond what they can handle, and their internal environment deteriorates rapidly. Necrosis is usually considered an accidental type of cell death.

Unlike apoptosis, necrosis does not produce vesicles to package the cellular content and instead releases it into the surrounding area. This can negatively affect nearby cells by creating debris in the extracellular environment.

What Causes Necrosis?

External factors can cause a type of cell death called necrosis. Some examples of causes of necrotic cell death are:

  1. Bacterial Infection - When microscopic bacteria enter the body through an airway or wound, they can cause various illnesses that lead to the unplanned death of cells.

  2. Fungal Infection - When the fungus invades human tissues, it can cause skin or internal system diseases resulting in unprogrammed cell death.

  3. Pancreatitis - The inflammation of the pancreas, which plays a role in hormone regulation and digestion in the body.

  4. Denaturation of Proteins - Proteins are essential for many processes in the human body, but if their weak bonds break down, they can damage the cells' ability to function properly. This can lead to cell death.

What Is the Difference Between Apoptosis and Necrosis?

Although both necrosis and apoptosis are processes that cause cells to die in multicellular organisms, there are several ways to tell them apart. Apoptosis is considered a natural process, while necrosis is a result of damage or disease. Pathological processes can be caused by toxins, infections, or injuries and can be uncontrolled. In contrast, apoptosis is a regulated and timely process, which makes it predictable and healthy for the organism. Apoptosis and necrosis can be distinguished by several factors:

  1. Process - In apoptosis, the cytoplasm shrinks, and the nucleus condenses, while in necrosis, the cytoplasm and mitochondria swell, causing the cell membrane to rupture.

  2. Membrane Integrity - During apoptosis, blebbing occurs without damaging the membrane. In necrosis, the membrane's integrity is compromised.

  3. Organelle Behavior - After apoptotic cell death, organelles can still function. During necrosis, organelles swell and disintegrate.

  4. Caspase - Apoptosis depends on caspases, while necrosis does not.

  5. Scope of Affected Cells - Apoptosis is localized to individual cells, while necrosis can spread to contiguous cell groups.

  6. Bodily Influence - Apoptosis helps control cell numbers and is typically beneficial but can cause disease if abnormal. Necrosis is always harmful and can be fatal if untreated.

Are There Any Similarities Between Apoptosis and Necrosis?

Apoptosis and necrosis have limited similarities. They are both initiated by signal chemicals or toxins, and the type and quantity of chemicals within the cell determine the type of cell death. Additionally, damage to the outer mitochondrial membrane is a shared trait, although it occurs in different ways for each process: necrosis causes swelling, while apoptosis causes leakage.

Furthermore, both apoptosis and necrosis share similarities with a different form of cell death known as necroptosis.

Conclusion

Apoptosis and necrosis are two different processes of cell death with distinct mechanisms and implications for the organism. Apoptosis is a programmed cell death that helps maintain the equilibrium of cell proliferation, while necrosis is an uncontrolled and accidental cell death resulting from damage or disease. Apoptosis is regulated and healthy for the organism, while necrosis is always harmful and can be fatal if untreated.

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Dr. Mona Kamal Farid Zaki
Dr. Mona Kamal Farid Zaki

Pathology

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necrosisapoptosis and autoimmune diseases
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