What Is the Difference Between Apoptosis, Necroptosis & Autophagy?

Apoptosis 

Apoptosis is a form of programmed cell death which is mediated by cysteine proteases called caspases. It is an essential phenomenon in the maintenance of homeostasis and growth of tissues, and it also plays a critical role in immune response. The cytomorphological alterations and the key features of apoptosis are listed below:

Apoptosis Targets
ProcessActive, physiological or pathophysiological
Induction stimuliOxidative stress, death receptor ligands, chemotherapy
Morphological changesNuclear pyknosis, membrane blebbing, generation of apoptotic bodies
Molecular changesCleavage of caspases and PARP, DNA fragmentation
ClearanceApoptotic bodies phagocytosed by neighboring cells & macrophages

Necroptosis

A programmed necrosis, is a type of cell death which emerges as a backup mechanism when apoptosis is non-functional either genetically or pathogenically.  It involves the release of intracellular "danger signals" which results in considerable inflammation. The cytomorphological alterations and the key features of necroptosis are listed below:

necroptosis target
ProcessMostly passive, always pathological
Induction stimuliViral or chemical exposure, radiation, endogenous or pathological factors
Morphological changesSwelling of cells and organelles, loss of membrane integrity
Molecular changesAcidosis, random DNA degradation, release of cellular proteins
ClearanceNecrotic cells ingested by macrophages, significant inflammation

Autophagy

Autophagy refers to a heterogeneous group of cell signaling pathways which enables eukaryotic cells to deliver cytosolic components to the autophagosomes-lysosomes for degradation, to recycle nutrients, and to survive during starvation. The cytomorphological alterations and the key features of autophagy are listed below:

autophagy targets
ProcessActive, physiological or pathophysiological
Induction stimuliStarvation, hypoxia, chemotherapy, growth factor deprivation
Morphological changesVacuolization, mass degradation of organelles & proteins
Molecular changesLC3I lipidation to LC3IIp62/SQSTM1 degradation, lysosomal activity
ClearanceCells gets cannibalized & the contents recycle for survival of the tissue

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