Abortive Apoptosis and Its Profound Effects on Radiation, Chemical, and Oncogene-Induced Carcinogenesis

Traditionally apoptosis and the apoptotic machinery have been deemed as anti‐carcinogenic because of their presumed roles in eliminating damaged or unwanted cells. However, recent work from our laboratory and others have shown that the established paradigm is deeply flawed. The fundamental flaw is the assumption that apoptosis, once initiated, is irreversible and invariably leads to cell death. However, there is increasing evidence that cells can survive activation of the apoptotic cascade. This new revelation about abortive apoptotic cells can dramatically change our assessment of the biological roles of apoptosis. In this brief review, we will cover some of the original studies that report the "undead" apoptotic cells and how they lead to unexpected new roles for apoptotic factors in space radiation and other stress induced genetic instability and carcinogenesis. We will also review exciting new discoveries on the association among abortive apoptosis, spontaneous DNA double strand breaks, DNA damage response, and stemness of cancer cells.