Caspases are a large family of evolutionarily conserved proteases found fr
om Caenorhabditis elegans to humans. Although the first caspase was identif
ied as a processing enzyme for interleukin-1 beta, genetic and biochemical
data have converged to reveal that many caspases are key mediators of apopt
osis, the intrinsic cell suicide program essential for development and tiss
ue homeostasis. Each caspase is a cysteine aspartase; it employs a nucleoph
ilic cysteine in its active site to cleave aspartic acid peptide bonds with
in proteins. Caspases are synthesized as inactive precursors ter-med procas
pases; proteolytic processing of procaspase generates the tetrameric active
caspase enzyme, composed of two repeating heterotypic subunits. Based on k
inetic data, substrate specificity and procaspase structure, caspases have
been conceptually divided into initiators and effectors. Initiator caspases
activate effector caspases in response to specific cell death signals, and
effector caspases cleave various cellular proteins to trigger apoptosis. A
dapter protein-mediated oligomerization of procaspases is now recognized as
a universal mechanism of initiator caspase activation and underlies the co
ntrol of both cell surface death receptor and mitochondrial cytochrome c-Ap
af-1 apoptosis pathways. Caspase substrates have bene identified that induc
e each of the classic features of apoptosis, including membrane blebbing, c
ell body shrinkage, and DNA fragmentation. Mice deficient for caspase genes
have highlighted tissue- and signal-specific pathways for apoptosis and de
monstrated an independent function for caspase-1 and -11 in cytokine proces
sing. Dysregulation of caspases features prominently in many human diseases
, including cancel; autoimmunity, and neurodegenerative disorders and incre
asing evidence shows that altering caspase activity can confer therapeutic
benefits.