Photodamage to the mitochondria of murine leukemia P388 cells resulted in immediate loss of the mitochondrial membrane potential together with the release of cytochrome c into the cytosol. This was followed by a rapid activation of caspase 3-like proteases, as indicated by a marked rise in DEVDase activity. There was no significant effect on WEHDase or VEIDase activities, suggesting that only the late-stage caspases had been effected. The apoptotic response to mitochondrial photodamage was abolished by the broadspectrum caspase inhibitor zVAD-fmk, but this did not prevent loss of viability after mitochondrial photodamage. These studies indicate that the release of cytochrome c from photodamaged mitochondria is sufficient to directly initiate a caspase-dependent apoptotic response.Keywords: apoptosis; photodynamic therapy; photosensitization; proteases Abbreviations: Ac-DEVD-fmk, acetyl-asp-glu-val-asp fmk; amc, 7-amino-4-methyl coumarin; cmk, chloromethylketone; CPO, 9-capronyloxy-tetrakis(methyoxyethyl)porphycene; fmc, 7-amido-4-tri¯uoromethyl coumarin; fmk,¯uoromethylketone; FHS, Fischer's medium (10% horse serum) buffered with 20 mM HEPES instead of NaHCO 3 ; HO342, Ho È chst dye 33342 (bis-benzimide); PcM, porphycene monomer; LD xx , PDT dose such that xx% of the cells are killed;