Detachment of most untransformed adherent cells from the extracellular matr
ix promotes apoptosis, in a process termed anoikis [1,2]. The death signall
ing mechanisms involved in this process are not known, although adhesion or
transformation by ras oncogenes have been shown to protect epithelial cell
s from apoptosis through activation of phosphatidylinositol 3-kinase and pr
otein kinase B (PKB/Akt) [3]. Here we show that detachment-induced apoptosi
s (anoikis) is blocked by the expression of a dominant-negative form of FAS
-associated death domain protein (FADD) in a number of untransformed epithe
lial cell lines. Because the soluble extracellular domains of the death rec
eptors CD95, DR4 and DR5 failed to block anoikis, we conclude that ligand-d
ependent activation of these death receptors is not involved in this proces
s. Detachment induced strong activation of caspase 8 and caspase 3. Detachm
ent-induced caspase-8 activation did not require the function of downstream
caspases but was blocked by overexpression of the anti-apoptotic proteins
Bcl-2 or Bcl-X-L. We propose that caspase-8 activation is the initiating ev
ent in anoikis, which is subsequently subject to a positive-feedback loop i
nvolving mitochondrial events.