Apoptosis, or programmed cell death, is art active process of self-des
truction, described a long time ago. However the understanding of the
molecular pathways which regulate programmed cell death is more recent
and far from complete. Apoptosis occurs during embryonic and foetal d
evelopment, and tissue remodeling, and its purpose is to assure homeos
tasis of cells and tissues. Apoptosis-defining morphological and bioch
emical changes are now well documented Many physiological and non-phys
iological factors have been described as inducers of apoptosis. Severa
l genes affecting various steps in programmed cell death must be expre
ssed to trigger apoptosis. For example, ced-3 and ced-4 in the nematod
e C, elegans, and ICE, a gene found in mammals. In addition, the exist
ence of genes suppressing apoptosis, like the human bcl-2 gene and a f
amily of related bcl-2 genes was recently described. Several data deal
ing with these family of anti-apoptotic genes and some of their mechan
isms of action are now currently available. It is clear that bcl-2 pro
tects many cell lines from induced apoptosis. Other proteins, like bcl
-x(I), Al or mcl-1 have the same anti-apoptotic function, but several
molecules of the same family, like bcl-x(S), bar-alpha or bak can trig
ger the opposite effect. it is known that bcl-2 can interact with othe
r proteins. For example, bar, which can exist as a homodimer; is also
able to form a heterodimer with bcl-2. A surexpression of bax in sever
al cell lines allows to counteract the effect of bcl-2. R-ras p23 is a
nother example, among others, of a protein interacting with bcl-2, and
this results in an interruption of the apoptotic signal transduction
pathway when bcl-2 is overexpressed. Some other explanations allowing
a more detailed analysis of the molecular mechanisms of apoptosis and
anti-apoptosis are discussed in this short review. Many interesting re
sults suggest that bcl-2 is a death repressor molecule functioning in
an anti-oxydant pathway, but other recent data seem to claim the contr
ary Recently, the demonstration was made that apoptosis may require th
e activation of several classes of proteases. It seems now that bcl-2
has also a function of protease(s) inhibitor.