Caspases are the key effector molecules of the physiological death process
known as apoptosis, although some are involved in activation of cytokines,
rather than cell death. They exist in most of our cells as inactive precurs
ors (zymogens) that kill the cell once activated. Caspases can be controlle
d in two ways. The processing and activation of a caspase can be regulated
by molecules such as FADD, APAF-1, Bcl-2 family members, FLIP and IAPs, Act
ive caspases can be controlled by a variety of inhibitors that directly int
eract with the protease, This review describes the later direct caspase inh
ibitors that have been identified, products of both viral and cellular gene
s, and artificial caspase inhibitors that have been developed both as resea
rch tools and as pharmaceutical agents to inhibit cell death in vivo.