Multicellular organisms have evolved elaborate signal transduction pat
hways for maintaining homeostasis through the control of cell prolifer
ation and death. The recent surge of interest in the regulation of pro
grammed cell death has led to the rapid identification of many protein
s involved in controlling and executing apoptosis. The inhibitors of a
poptosis proteins (IAPs) constitute a family of highly conserved death
suppressing proteins that were first identified in baculoviruses, and
that has recently expanded to include at least two homologues in Dros
ophila melanogaster and four in rodents and humans, In this article we
review the current state of IAP research. Two of the IAPs, HIAP-1 and
HIAP-2, have been placed within the TNF alpha induced cell death path
way which involves two receptors for TNF alpha and multiple, overlappi
ng signal transduction proteins. A third, X-linked gene termed XIAP, i
s ubiquitously expressed and appears to have a broad range of suppress
or activity to a variety of apoptotic triggers. The fourth member, NAI
P, has been identified as the protein product of a candidate gene for
the inherited neuromuscular disorder, spinal muscular atrophy (SMA). T
he neuroprotective activity of NAIP in an in vivo model of cerebral is
chemia has also been demonstrated.