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Updated: May 19, 2026

Identification of Intracellular Signaling Events Induced in Viable Cells by Interaction with Neighboring Cells Undergoing Apoptotic Cell Death
Published on: December 27, 2016
The role of apoptosis-induced proliferation for regeneration and cancer
Hyung Don Ryoo1, Andreas Bergmann
1Department of Cell Biology, New York University School of Medicine, New York, New York 10016, USA.
Abstract:
Genes dedicated to killing cells must have evolved because of their positive effects on organismal survival. Positive functions of apoptotic genes have been well established in a large number of biological contexts, including their role in eliminating damaged and potentially cancerous cells. More recently, evidence has suggested that proapoptotic proteins-mostly caspases-can induce proliferation of neighboring surviving cells to replace dying cells. This process, that we will refer to as "apoptosis-induced proliferation," may be critical for stem cell activity and tissue regeneration. Depending on the caspases involved, at least two distinct types of apoptosis-induced proliferation can be distinguished. One of these types have been studied using a model in which cells have initiated cell death, but are prevented from executing it because of effector caspase inhibition, thereby generating "undead" cells that emit persistent mitogen signaling and overgrowth. Such conditions are likely to contribute to certain forms of cancer. In this review, we summarize the current knowledge of apoptosis-induced proliferation and discuss its relevance for tissue regeneration and cancer.
Insights
Apoptosis-induced proliferation, where dying cells stimulate neighboring cells to divide, is crucial for tissue regeneration. This process, however, can also drive cancer development.
Area of Science:
- Cell biology
- Molecular biology
- Developmental biology
Background:
- Apoptotic genes are essential for eliminating damaged or cancerous cells, contributing to organismal survival.
- Emerging evidence indicates that pro-apoptotic proteins, primarily caspases, can stimulate proliferation in adjacent surviving cells for tissue repair.
Purpose of the Study:
- To review the current understanding of apoptosis-induced proliferation.
- To explore the dual role of this process in tissue regeneration and cancer development.
Main Methods:
- Literature review of studies on apoptosis and cell proliferation.
- Analysis of mechanisms involving caspases in cell death and survival signaling.
- Examination of models demonstrating "undead" cells and their proliferative signaling.
Main Results:
- Apoptosis-induced proliferation is a conserved biological process with implications for tissue homeostasis.
- Two distinct types of apoptosis-induced proliferation exist, differentiated by the caspases involved.
- Inhibition of effector caspases can lead to "undead" cells that promote proliferation and potentially contribute to oncogenesis.
Conclusions:
- Apoptosis-induced proliferation plays a vital role in stem cell activity and tissue regeneration.
- Dysregulation of apoptosis-induced proliferation, particularly through "undead" cells, is linked to cancer pathogenesis.
- Further research into apoptosis-induced proliferation mechanisms can inform therapeutic strategies for regenerative medicine and oncology.
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