Bcl-2 and related cytoplasmic proteins are key regulators of apoptosis
, the cell suicide program critical for development, tissue homeostasi
s, and protection against pathogens. Those most similar to Bcl-2 promo
te cell survival by inhibiting adapters needed for activation of the p
roteases (caspases) that dismantle the cell. More distant relatives in
stead promote apoptosis, apparently through mechanisms that include di
splacing the adapters from the pro-survival proteins. Thus, for many b
ut not all apoptotic signals, the balance between these competing acti
vities determines cell fate. Bcl-2 family members are essential for ma
intenance of major organ systems, and mutations affecting them are imp
licated in cancer.