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Updated: Mar 17, 2026

Live-cell Imaging of Lysosomal Membrane Permeabilization During Necroptosis
Published on: November 14, 2025
Oxidant-induced apoptosis: a consequence of lethal lysosomal leak?
H B Hellquist1, I Svensson1, U T Brunk1
1a Department of Pathology II, Faculty of Health Sciences , Linköping University , Linköping , Sweden.
Abstract:
When macrophage-like J-774 cells are subjected to limited oxidative stress, such as exposure to hydrogen peroxide in a moderate bolus dose, some of their lysosomes rupture-as here assayed by the acridine orange relocalization test-secondary to intralysosomal, iron-catalysed, oxidative reactions. The resultant leakage into the cytosol of hydrolytic enzymes, such as cathepsin-D (as shown here), may initiate a slow degradation/fragmentation process of an apoptotic type within cells still having intact plasma membranes. In contrast, severe oxidative stress also results in extensive lysosomal rupture but leads to necrosis. The chelation of (normally occurring) intralysosomal low-molecular weight iron, by endocytotic uptake of desferrioxamine, largely prevents oxidative stress-induced apoptosis whereas lysosomal iron-loading, by endocytotic uptake of complexed ferric iron, considerably enhances the process. We conclude that oxidant-mediated and iron-catalysed lysosomal rupture leads to decompartmentalization of lysosomal enzymes which in turn may initiate and promote the apoptotic process.
Insights
Oxidative stress causes lysosomal rupture in macrophages, initiating apoptosis. Iron catalyzes this process, with iron chelation preventing cell death, highlighting iron
Area of Science:
- Cell Biology
- Biochemistry
- Toxicology
Background:
- Oxidative stress is implicated in cellular damage and death pathways.
- Lysosomes play a critical role in cellular degradation and homeostasis.
- Iron's role in oxidative reactions within cells is increasingly recognized.
Purpose of the Study:
- To investigate the role of lysosomal integrity and iron in oxidative stress-induced apoptosis.
- To elucidate the mechanism by which oxidative stress triggers cell death in macrophages.
- To determine the impact of iron chelation and loading on oxidative stress-induced apoptosis.
Main Methods:
- Macrophage-like J-774 cells were exposed to varying levels of oxidative stress (hydrogen peroxide).
- Lysosomal integrity was assessed using the acridine orange relocalization test.
- Cellular iron levels were modulated using desferrioxamine (chelation) and ferric iron (loading).
- Cathepsin-D release into the cytosol was monitored as an indicator of lysosomal enzyme leakage.
Main Results:
- Limited oxidative stress induced lysosomal rupture and apoptosis, characterized by cathepsin-D release.
- Severe oxidative stress led to extensive lysosomal rupture and necrosis.
- Chelation of intralysosomal iron with desferrioxamine largely prevented oxidative stress-induced apoptosis.
- Endocytotic uptake of ferric iron enhanced oxidative stress-induced apoptosis.
Conclusions:
- Oxidant-mediated and iron-catalyzed lysosomal rupture initiates apoptosis.
- Decompartmentalization of lysosomal enzymes due to rupture promotes apoptotic processes.
- Intralysosomal iron is a critical mediator in oxidative stress-induced lysosomal damage and subsequent apoptosis.
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