Apoptosis is an evolutionarily conserved form of cell suicide; the central component of this process is a cascade of proteolytic enzymes called caspases. These enzymes are triggered in response to pro-apoptotic signals, causing the disassembly of the cell.
The loss of mitochondrial membrane potential is a hallmark for apoptosis. The mitochondrial permeability transition is an important step in the induction of cellular apoptosis. During this process, the electrochemical gradient across the mitochondrial membrane collapses. The collapse is thought to occur through the formation of pores in the mitochondria by dimerized Bax or activated Bid, Bak, or Bad proteins. Activation of these pro-apoptotic proteins is accompanied by the release of cytochrome C into the cytoplasm.
ICT carries several cell membrane permeant dyes with the capability of being retained within an active (polarized) mitochondrial membrane, and subsequently released upon loss of mitochondrial membrane gradient potential.