Why dying cells ‘morph’ to look like blood clots

MONASH (AUS) — In the late stages of death, injured cells undergo a restructure and take on a form not unlike a blood clot.

In research published in Cell Reports, scientists from Monash University have demonstrated for the first time the enzyme t-PA, which plays a vital role in the removal of blood clots, is also a major player in the removal of necrotic, or dead, cells.

Necrosis occurs when cells in living tissue die prematurely due to external stress or injury. The body’s system for removing waste associated with necrotic cell removal was not, until now, well understood.


Robert Medcalf, a professor at Monash University, says the blood clot-like structure allows the damaged cells to be recognized and removed by t-PA and its enzymatic waste disposal team.

“It’s exactly the same principle as the formation and removal of a blood clot,” notes Medcalf.

“In the process of a cell dying it goes through this unique form of aggregation to keep all the intracellular debris localized. Then, it can be taken out in an orderly fashion by the blood clot-busting enzyme system without causing damage to the body.”

The researchers were studying brain tissue when they made the discovery, but have shown that the same process applies to every cell in the body.

“It’s very efficient. Instead of doubling up, the body is using the same disposal system to eliminate a variety of unwanted waste products, be they dead cells or blood clots that have served their purpose,” explains Medcalf.

“What this means is that t-PA and its team of enzymes recognizes waste through structure or shape, not by the specific proteins involved.”

The findings shed further light on the function and therapeutic benefits of t-PA, which is used to treat stroke and heart attack.

Andre Samson, of the University’s Australian Centre for Blood Diseases (ACBD), led the research with Stephen Bottomley of the Monash Department of Biochemisty and Molecular Biology. Researchers from Alfred Health and the Ludwig Institute for Cancer Researchers also collaborated on the study, which was funded by the National Health and Medical Research Council of Australia.

Source: Monash University