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Karyorrhexis (from κάρυον karyon, "kernel, seed, nucleus," and ῥῆξις rhexis, "bursting") is the destructive fragmentation of the that occurs in a dying cell. It is characterized by the breakdown of the nuclear envelope and the dispersal of condensed into the .

(2025). 9783642781933, Springer Science & Business Media. .
The process is usually preceded by (irreversible chromatin condensation) and followed by (enzymatic dissolution of chromatin). It may occur during programmed cell death (), cellular senescence, or .

In apoptosis, karyorrhexis is mediated by Ca2+- and Mg2+-dependent , ensuring that nuclear fragments are packaged into apoptotic bodies and removed by . In necrosis, by contrast, nuclear fragmentation occurs in a less orderly fashion, leaving behind cellular debris that can contribute to tissue damage and inflammation.

Image:nuclear changes.jpg|Morphological features of pyknosis and other forms of nuclear destruction File:Apoptotic neutrophil with nuclear fragmentation.jpg|Microscopy of an apoptotic neutrophil with nuclear fragmentation (H&E stain)


Nuclear envelope dissolution
In the intrinsic pathway of , cellular stressors such as activate pro-apoptotic members of the Bcl-2 protein family, leading to permeabilization of the mitochondrial outer membrane. This releases into the cytoplasm, triggering a signaling cascade that culminates in the activation of multiple enzymes. Among these, caspase-6 cleaves nuclear lamina proteins such as lamin A/C, structural components that maintain the integrity of the nuclear envelope. Their cleavage facilitates the controlled dissolution of the nuclear envelope during apoptosis.


Chromatin fragmentation
During karyorrhexis in , nuclear DNA is cleaved in an orderly fashion by endonucleases such as caspase-activated DNase, producing discrete nucleosomal fragments. This organization is possible because DNA has already undergone condensation during , being tightly wrapped around proteins in repeating units of ≈180 bp. Activated endonucleases cleave the linker DNA between histones, generating short, regularly sized fragments that correspond to nucleosomal units. These DNA fragments can be visualized by gel electrophoresis, where they produce a characteristic “ladder” pattern, a hallmark used to distinguish apoptosis from other forms of cell death.


In other forms of cell death
In , karyorrhexis is a controlled process in which caspases degrade proteins, leading to the orderly breakdown of the nuclear envelope. In less regulated forms of cell death, such as , nuclear degradation occurs through different mechanisms. Necrotic cells are characterized by rupture of the plasma membrane, lack of caspase activation, and the induction of an inflammatory response. Because necrosis is caspase-independent, the nucleus may remain intact during early stages before rupturing as a result of osmotic stress and membrane damage.

A specialized form of necrosis, , involves a more regulated pathway but still results in plasma membrane rupture. Here, nuclear destabilization is mediated by the protease , which cleaves lamins and promotes nuclear envelope breakdown.

Unlike karyorrhexis in apoptosis, which generates apoptotic bodies subsequently removed by , karyorrhexis in necroptosis leads to the uncontrolled release of intracellular contents into the extracellular space, where they are cleared primarily through .


Mechanism

Apoptotic pathways
Apoptosis, and the associated nuclear degradation through karyorrhexis, can be triggered by a variety of physiological and pathological stimuli. DNA damage, , hypoxia, and infections activate signaling cascades that converge on the intrinsic apoptotic pathway. This pathway may also be induced by external factors such as , which promotes activation of apoptosis-related proteins including BAX and caspases.

In addition to intrinsic signals, activation of cell-surface death receptors such as can initiate the extrinsic apoptotic pathway, also resulting in caspase activation and nuclear envelope degradation. In both pathways, executioner caspases, particularly caspase-3, cleave nuclear lamins and promote chromatin fragmentation, driving karyorrhexis.


Necrotic pathways
In contrast to apoptosis, nuclear degradation during is a largely unregulated process. Necrotic cells are characterized by rupture of the plasma membrane, uncontrolled calcium influx, and activation of proteases such as , which accelerate nuclear disintegration. These features highlight the mechanistic differences between necrotic and apoptotic karyorrhexis.


Senescence and DNA damage response
The extent of DNA damage can also determine whether a cell undergoes apoptosis or enters cellular senescence. Senescence involves a permanent cessation of cell division and is typically observed after approximately 50 doublings in primary cells.

One major cause of senescence is telomere shortening, which triggers a persistent DNA damage response (DDR). This response activates the kinases ATR and ATM, which in turn activate Chk1 and Chk2. These signaling events stabilize the transcription factor p53. When DNA damage is mild, p53 induces CIP proteins that inhibit CDKs, enforcing cell-cycle arrest. In cases of severe DNA damage, however, p53 activates apoptotic pathways, leading to caspase activity and nuclear envelope dissolution via karyorrhexis.


Clinical significance
Karyorrhexis is a hallmark of cell death observed in a range of pathological conditions, including and neurodegenerative disorders. It has been documented in myocardial infarction and , where nuclear fragmentation contributes to tissue damage during acute stress responses. In obstetric pathology, placental vascular has been linked to karyorrhexis and implicated in cases of fetal demise, reflecting its role in disrupted tissue homeostasis.

In , apoptotic karyorrhexis has a dual significance. On one hand, it contributes to controlled cell death and tumor suppression; on the other, resistance to apoptosis allows cancer cells to evade this process, promoting malignancy. Therapeutic strategies that target apoptotic pathways aim to restore nuclear degradation and trigger tumor regression.


See also

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