Recently, caspase-2 was shown to act upstream of mitochondria in stress-induced apoptosis. Activation of caspase-8, a key event in death receptor-mediated apoptosis, also has been demonstrated in death receptor-independent apoptosis. The regulation of these initiator caspases, which trigger the mitochondrial apoptotic pathway, is unclear. Here we report a potential regulatory role of caspase-2 on caspase-8 during ceramide-induced apoptosis. Our results demonstrate the sequential events of initiator caspase-2 and caspase-8 activation, Bid cleavage and translocation, and mitochondrial damage followed by downstream caspase-9 and -3 activation and cell apoptosis after ceramide induction in T cell lines. The expression of truncated Bid (tBid) and the reduction in mitochondrial transmembrane potential were blocked by caspase-2 or caspase-8, but not caspase-3, knockdown using an RNA interference technique. Ceramide-induced caspase-8 activation, mitochondrial damage, and apoptosis were blocked in caspase-2 short interfering RNA-expressing cells. Therefore, caspase-2 acts upstream of caspase-8 during ceramide-induced mitochondrial apoptosis. Similarly, sequential caspase-2 and caspase-8 activation upstream of mitochondria was also observed in etoposide-induced apoptosis. These data suggest sequential initiator caspase-2 and caspase-8 activation in the mitochondrial apoptotic pathway induced by ceramide or etoposide.A mitochondrial apoptotic pathway is required for various death stimuli (1, 2). The involvement of initiator caspases before mitochondrial damage has been shown (3, 4). Caspase-8 activation followed by the cleavage of the Bcl-2 family protein Bid, a BH3 domain-containing proapoptotic protein, induces mitochondrial damage during death receptor-mediated apoptosis (5-8). Activation of caspase-8 also has been demonstrated in death receptor-independent apoptosis (9, 10). Caspase-2 recently was shown to act upstream of mitochondria to promote cytochrome c release and apoptosis (11)(12)(13)(14). The regulation of these initiator caspases leading to the mitochondria-mediated apoptotic pathway remains unresolved.Ceramide, a product of sphingolipid metabolism, regulates diverse cellular responses, including proliferation, differentiation, and apoptosis. Although the role of ceramide as a signaling molecule remains debatable (15, 16), some early work suggested that various extracellular agents and stress stimuli, such as tumor necrosis factor-␣ (TNF␣), Fas, chemotherapeutic agents, irradiation, and heat, might cause accumulation of ceramide. Ceramide modulates the biochemical and cellular processes that lead to apoptosis (17-21). The mechanisms by which ceramide regulates apoptotic events have not been fully defined. Ceramide activates a number of enzymes involved in stress-signaling pathways, including both protein kinases and protein phosphatases. A recent study indicates that ceramide-induced neuronal apoptosis is associated with dephosphorylation of Akt, Bcl2-associated death promoter (BAD), forkhead transcriptional ...