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Brain Development: Normal Processes and the Effects of Alcohol ...

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Over <strong>the</strong> pas t several decades, <strong>the</strong> importanc e <strong>of</strong> cell<br />

death i n <strong>the</strong> formation <strong>of</strong> <strong>the</strong> nervou s system has become<br />

wel l established . Indeed , underst<strong>and</strong>in g cel l<br />

death i n th e developin g brai n ha s been on e o f th e<br />

most exciting areas <strong>of</strong> research in neuroscience. Th e<br />

present chapter focuses on <strong>the</strong> mammalian fetal cerebral<br />

cortex as a paradigm <strong>of</strong> study.<br />

HISTORICAL RECOGNITION O F<br />

PROGRAMMED CELL DEATH<br />

AND APOPTOSIS<br />

Embryologists hav e lon g recognize d tha t regressiv e<br />

events play a major role in shaping organ development<br />

(Clarke an d Clarke , 1996) . Abou t S O years ago , th e<br />

term programmed cell death (PCD ) wa s coined . I t<br />

evolved from detaile d studie s <strong>of</strong> <strong>the</strong> cellula r degenera -<br />

tion durin g insec t metamorphosi s (Lockshi n an d<br />

Williams, 1965 ) <strong>and</strong> <strong>the</strong> morphogenesis o f avian limbs<br />

(Saunders, 1966) . PC D i s a geneticall y regulate d<br />

5<br />

Cell Death<br />

Stevens K. Rehen<br />

Jerold J.M. Chun<br />

73<br />

mechanism that plays a critical role in specifi c stages<br />

<strong>of</strong> development, sculptin g different organ s during <strong>the</strong><br />

formation an d maturatio n o f tissue s (Elli s e t al. ,<br />

1991).<br />

Apoptosis is <strong>the</strong> bes t known form o f PCD, charac -<br />

terized originally by morphological change s observe d<br />

by microscopy (Kerr et al., 1994). Apoptosis is characterized<br />

by nuclear size reduction, blebbing <strong>of</strong> <strong>the</strong> cel -<br />

lular membrane, chromatin condensation , <strong>and</strong> DNA<br />

fragmentation (Ker r et al, 1972 ; Wyllie et al, 1984) .<br />

In <strong>the</strong> absence <strong>of</strong> inflammation, <strong>the</strong> apoptotic corpses<br />

are usuall y eliminate d b y phagocytes (Arend s e t al,<br />

1990), whic h us e th e phosphatidylserin e recepto r<br />

(PSR) to identify <strong>and</strong> remove <strong>the</strong> dying cells (Zhuan g<br />

et al, 1998 , Wan g e t al, 2003) . Apoptosis is considered<br />

a counterpoin t t o cel l deat h b y necrosi s (Ker r<br />

et al. , 1972) . Necrosi s i s distinguishe d b y earl y<br />

swelling <strong>and</strong> ruptur e o f both intracellula r organelle s<br />

<strong>and</strong> <strong>the</strong> plasma membrane.<br />

Although th e definitio n o f apoptosi s i s based o n<br />

morphological criteri a <strong>and</strong> PC D i s characterized as

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