In this paper, we offer a minimal characterization of the concept of mechanism in biomedicine, according to which a mechanism is a theoretically described causal pathway. We argue that this conception can be drawn from scientific practice, as illustrated by how a central biological and biomedical mechanism, the mechanism of apoptosis, was first identified and characterized. We will use the example of cytological and biochemical theoretical descriptions of the mechanism of apoptosis to draw lessons about the meaning of the concept of mechanism in biomedical contexts and to contrast our preferred account of mechanism with some prominent accounts within the philosophical literature. The main outcome of our discussion will be that commitment to mechanism is first and foremost a methodological stance.
Keywords: apoptosis; causal pathway; mechanism; mechanistic explanation; methodological mechanism; philosophy of medicine.
© 2018 John Wiley & Sons, Ltd.