“…Bell and his colleagues suggest that PS externalization in concert with alteration of membrane structure increase the susceptibility of apoptotic cells to Agkistrodon piscivorus piscivorus PLA 2 and human secreted PLA 2 s (Harris et al, 2001;Bailey et al, 2007Bailey et al, , 2009Nelson et al, 2011Nelson et al, , 2012. In their studies, ionomycin, dexamethasone or thapsigargin are used to induce apoptosis of cells, and thus the direct effect of these reagents on membrane structure and PLA 2 activity could not exclude out (Harris et al, 2001;Bailey et al, 2007Bailey et al, , 2009Nelson et al, 2011Nelson et al, , 2012. Our previous studies revealed that Naja naja atra PLA 2 (NnaPLA 2 ) induced apoptosis of human leukemia K562 and U937 cells (Liu et al, 2009;Chen et al, 2010a), while Notechis scutatus scutatus notexin (presynaptic PLA 2 neurotoxin) induced apoptosis of human neuroblastoma SK-N-SH cells (Chen et al, 2010b).…”