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In the early stage of cell death research apoptosis and necrosis was described as different forms of cell death (Wyllie et al 1980). Necrosis has previously been described as cells undergoing swelling and often accompanied by chromatin condensation which is then followed by cellular and nuclear lysis and inflammation (Wyllie et al 1980). Necrosis is always regarded as a pathological response generated by chemical or physical insults whereas apoptosis could either be physiological or pathological generated and most of the physiological death is apoptotic (Sanders and Wride 1995). Sanders and Wride (1995) also kratom leaf tea dosage kratom extract method mentioned that pyknosis and karyorhexis are common features for both apoptosis and oncosis while karyolysis is more to oncosis.