(A) Cell proliferation can generate overcrowding in an epithelium. Extrusion of
cells in the overcrowded area relieves cell compression and returns the tissue
to equilibrium. In cultured MDCK cells and the Drosophila
notum, extruded cells are viable for a few hours before they undergo cell death,
likely as a result of loss of adhesion to other cells or to the basement
membrane.
(B) In one model, deformation of the cell membrane due to shape changes or
overcrowding could open stretch-activated channels that promote extrusion
through an unknown mechanism. Increased calcium influx, for example, could
stimulate myosin light-chain kinase, activating myosin and promoting the
assembly of a contractile ring around extruding cells.