“…15,16 Upon activation, the proapoptotic family members BAK and BAX can breach the mitochondrial outer membrane (MOM), leading to cytochrome c release, caspase 9 activation and subsequent apoptotic events. Genetic 2,17 as well as biochemical experiments [18][19][20][21][22][23] have indicated that the BH3-only proteins BIM, PUMA, a protease generated BID fragment (tBID), and, in some studies, NOXA can directly bind and activate BAK and/or BAX. To counteract these effects, antiapoptotic BCL2 family members such as BCL2, BCLX L and MCL1 bind and neutralize activated BAX and/or BAK 2,6,16,24 as well as activated or overexpressed BH3-only family members, [25][26][27][28][29][30] thereby preserving MOM integrity.…”