Re: Apoptosis vs oncosis

From: Robert L. Becker Jr. (rlb@cpt.afip.mil)
Date: Thu Oct 30 1997 - 21:57:12 EST


On Thu, 30 Oct 1997 LAADAMS@am.pnu.com wrote:

> This is a basic science question.  Does anyone have a definition of oncosis 
> which differentiates this method of cell death from apoptosis, including 
> morphological and/or biochemical hallmarks?  I have been treating HT29 
> (human colon adenocarcinoma) cells with a potential antitumor drug and I 
> don't think this agent is killing the cells by apoptosis.  Others in my 
> group do not agree.  The cells start to swell after 24-48 hours of 
> treatment and by 96 hours the most of the culture is dead.  At no point in 
> the time course do the cells demonstrate true positive TUNEL results.  I 
> have only looked at DNA laddering once and got ambiguous results, i.e., I 
> think I looked at too late of a time point.

Well, here's one of those instances where internet does double-good duty. 
I just walked in from tonight's AFIP Stowell lecture by Ben Trump (Chair,
Pathology, Univ Maryland) where he spent an hour on fascinating details of
this topic that his group has advanced very much. The recently educated
simple fool's answer (mine) is that oncosis is a cellular response to
injury characterized first by swelling (onco, Greek, "swelling or mass"),
while apoptosis (Greek, "falling off") is characterized first by blebbing
and fragmentation accompanying an initial *decrease* in cell volume. The
cell chemistries for the two paths are diagrammed as related but distinct
in ways I don't trust myself to remember. Luckily, I don't have to. A
quick medline search gives the following abstract: 

-------------------------------------------------------------------------------
 TITLE:         The pathways of cell death: oncosis, apoptosis, and
                necrosis.
 AUTHOR:        Trump BF; Berezesky IK; Chang SH; Phelps PC
 AUTHOR         Department of Pathology, University of Maryland School of
 AFFILIATION:   Medicine, Baltimore 21201, USA.
 SOURCE:        Toxicol Pathol 1997 Jan-Feb;25(1):82-8
 NLM CIT. ID:   97215504
 ABSTRACT:      The pathways and identification of cell injury and cell
                death are of key importance to the practice of diagnostic
                and research toxicologic pathology. Following a lethal
                injury, cellular reactions are initially reversible.
                Currently, we recognize two patterns, oncosis and apoptosis.
                Oncosis, derived from the Greek word "swelling," is the
                common pattern of change in infarcts and in zonal killing
                following chemical toxicity, e.g., centrilobular hepatic
                necrosis after CC14 toxicity. In this common reaction, the
                earliest changes involve cytoplasmic blebbing, dilatation of
                the endoplasmic reticulum (ER), swelling of the cytosol,
                normal or condensed mitochondria, and chromatin clumping in
                the nucleus. In apoptosis, the early changes involve cell
                shrinkage, cytosolic shrinkage, more marked chromatin
                clumping, cytoplasmic blebbing, swollen ER on occasion, and
                mitochondria that are normal or condensed. Following cell
                death, both types undergo postmortem changes collectively
                termed "necrosis." In the case of oncosis, this typically
                involves broad zones of cells while, in the case of
                apoptosis, the cells and/or the fragments are often
                phagocytized prior to their death by adjacent macrophages or
                parenchymal cells. In either case, the changes converge to a
                pattern that involves mitochondrial swelling, mitochondrial
                flocculent densities and/or calcification, karyolysis, and
                disruption of plasmalemmal continuity. The biochemical
                mechanisms of cell death are currently under intense study,
                particularly concerning the genes involved in the process.
                Pro-death genes include p53, the ced-3/ICE proteases, and
                the Bax family. Anti-death genes include ced-9/Bcl-2 and the
                adenovirus protein EIB. It is clear that ion deregulation,
                particularly that of [Ca2+]i plays an important role in cell
                death following either apoptosis or oncosis. Genetic
                evidence strongly indicates that activation of proteases is
                an important step, possibly very near to the point where
                cell death occurs.
 MAIN MESH      Apoptosis/*DRUG EFFECTS
 SUBJECTS:      Neoplasms, Experimental/*CHEMICALLY INDUCED/*PATHOLOGY
 ADDITIONAL     Animal
 MESH SUBJECTS: Cell Death/DRUG EFFECTS
                Necrosis
                Support, U.S. Gov't, Non-P.H.S. Support, U.S. Gov't, P.H.S.
 PUBLICATION    JOURNAL ARTICLE
 TYPES:         REVIEW
                REVIEW, TUTORIAL
 LANGUAGE:      Eng
 ------------------------------------------------------------------------------

I'll bet this ref will get you started on the biochemical distinctions, as
well as the morphological ones. There's a bushel more of stuff, much in
the pharmacology literature, some on-line full text through PubMed.

Robert L. Becker, Jr.
Col, USAF, MC
Department of Cellular Pathology
Armed Forces Institute of Pathology
Washington, DC 20306-6000
202-782-1573



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