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Updated: Jul 24, 2026

Strategies for Tracking Anastasis, A Cell Survival Phenomenon that Reverses Apoptosis
Published on: February 16, 2015
Early stages of p53-induced apoptosis are reversible
F J Geske1, R Lieberman, R Strange
1Department of Pathology, University of Colorado Health Sciences Center, Denver 80262, USA.
Abstract:
Apoptosis is a type of physiological cell death that occurs during development, normal tissue homeostasis, or as a result of different cellular insults. The phenotype of an apoptotic cell is relatively consistent in most cases of apoptosis and involves at least changes in the cell membrane, proteolysis of cytoplasmic and nuclear proteins, and eventual destruction of nuclear DNA. Our laboratory is interested in the reversibility of apoptosis. We have initial evidence that DNA repair is activated early in p53-induced apoptosis and may be involved in its reversibility. The present work further strengthens our proposition that p53-induced apoptosis is reversible. We show that p53 activation induces phosphatidylserine (PS) externalization early in apoptosis, and that these early apoptotic cells with externalized PS can be rescued and proliferate if the apoptotic stimulus is removed. In addition, we show that unscheduled DNA synthesis occurs in early apoptotic cells, and that if DNA repair is inhibited by aphidicolin, apoptosis is accelerated. These results confirm that early p53-induced apoptotic cells can be rescued from the apoptotic program, and that DNA repair can modulate that cell death process.
Insights
Early apoptotic cells induced by p53 are reversible. DNA repair mechanisms are active in early apoptosis and can modulate cell death, suggesting potential for rescue from programmed cell death.
Area of Science:
- Cell Biology
- Molecular Biology
- Biochemistry
Background:
- Apoptosis is programmed cell death crucial for development and tissue homeostasis.
- Apoptotic cells exhibit characteristic membrane changes, protein degradation, and DNA fragmentation.
- The reversibility of apoptosis, particularly p53-induced apoptosis, remains an area of investigation.
Purpose of the Study:
- To investigate the reversibility of p53-induced apoptosis.
- To determine the role of DNA repair in the modulation of p53-induced apoptosis.
Main Methods:
- Assessing phosphatidylserine (PS) externalization as an early marker of apoptosis.
- Evaluating cell proliferation following removal of the apoptotic stimulus.
- Measuring unscheduled DNA synthesis in apoptotic cells.
- Inhibiting DNA repair with aphidicolin to observe its effect on apoptosis.
Main Results:
- p53 activation leads to early phosphatidylserine (PS) externalization.
- Cells with externalized PS can be rescued and proliferate if the apoptotic stimulus is removed.
- Unscheduled DNA synthesis occurs in early apoptotic cells.
- Inhibition of DNA repair by aphidicolin accelerates apoptosis.
Conclusions:
- Early p53-induced apoptotic cells are potentially reversible.
- DNA repair mechanisms are active in early apoptosis and can influence the cell death pathway.
- These findings suggest that DNA repair plays a modulatory role in programmed cell death.
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