The document summarizes apoptosis, or programmed cell death. It describes apoptosis as an energy-dependent process for removing unwanted cells, distinguishing it from necrosis. The two main pathways of apoptosis, the extrinsic and intrinsic pathways, are outlined. The extrinsic pathway involves death receptors and ligands that activate initiator caspases like caspase 8. The intrinsic pathway involves signals within the cell that cause changes in mitochondria, activating initiator caspase 9. Both pathways activate effector caspases like caspase 3 that carry out the destruction of the cell. Apoptosis plays important roles in development, the immune system, and preventing diseases like cancer.