of these substances can not only lead to arrest of proliferation, but also to
cell death by apoptosis.
In the cells, control of proliferation and apoptosis is carried out by an
integrated signaling mechanism that activates or avoids one of these
processes and also influences other aspects of cell activity. For instance,
the presence of mitotic agents that induce proliferation, and survival
factors that inhibit apoptosis, are necessary for maintaining cell viability
(Al-Rubeai, 1998). It is important, however, to distinguish between mito-
gens and survival factors. Insulin-like growth factor 1 (IGF-1) is a potent
survival factor, but a poor mitogen. Many cytokines are good mitogens,
but poor survival factors, since they induce cell division but do not avoid
apoptosis. In this way, induction of cell growth and apoptosis inhibition
become independent events. Macrophage-colony stimulating factor
(M-CSF), for instance, promotes cell survival when present at low concen-
trations, but promotes proliferation at high concentrations. Thus, the
correct balance of growth and survival factors is an important considera-
tion for maintaining high cell viability in culture (Cotter and Al-Rubeai,
1995).
Animal serum, especially serum from bovine fetuses, plays an important
role in the growth and survival of animal cells in culture. Serum contains
growth factors, proteins, and other nutrients. The removal of serum has
been associated with apoptotic induction in different cells, including
hybridomas and Chinese hamster ovary (CHO) (Zanghi et al., 1999) and
plasmacytomas (Singh et al., 1994). The mechanism by which the removal
of growth factors, such as those contained in serum, induces apoptosis
seems to involve the expression of the proto-oncogene c-myc (Al-Rubeai,
1998). In CHO cells, apoptosis is induced by nutrient depletion due to
accelerated nutrient consumption in the absence of serum. On the other
hand, when serum or plasma is present at high concentrations, death by
apoptosis is also induced, but this phenomenon can be avoided by adding
supplements containing thiol groups, such as L-cysteine or L-tryptophan
(Al-Rubeai, 1998).
When cells are deprived of an energy source such as glucose or glutamine,
apoptosis can be induced. The effects of lack of glutamine on apoptosis
induction have been observed in hematopoietic cells, such as hybridomas
and plasmacytomas (Mercille and Massie, 1994a; Singh et al., 1994). Sanfeliu
and Stephanopoulos (1999) demonstrated that the lack of glutamine is the
major factor activating apoptosis in a CHO cell line producing interferon-
gamma, and that this effect could be attenuated by the expression of the
gene Bcl-2, which codes for an anti-apoptotic protein that participates in
the signaling pathway that is triggered in response to apoptotic stimuli. The
influence of glucose and glutamine on the apoptotic pathways is not yet
completely understood, but the concentrations of both compounds regulate
cell growth and the catabolic pathways. Their depletion can block DNA
synthesis and arrest the culture in the G
1
phase, causing apoptosis. How-
ever, this does not explain why cells in phases S, G
2
, and M also undergo
apoptosis. It is suggested that apoptosis can be induced when the energy
required for synthesis of the ATP, needed for the duplication of cellular
material, is decreased to a critical level, resulting in the activation of
regulatory proteins that promote apoptosis (Al-Rubeai, 1998).
Mechanisms of cell proliferation and cell death in animal cell culture
in vitro
153