“…The existence of the cytosolic NADH/cyto-c electron transport pathway was uncovered in 1991 [11] before the finding reported in 1996 that, in physio-pathological conditions, cyto-c can be released into the cytosol where it becomes a fundamental component of the apoptotic cell death program [15]. Thereafter we proposed, and continue to maintain, that in apoptotic cells, with an increased level of cyto-c in the cytosol and the impairment of the respiratory chain, the activity of the NADH/cyto-c system, coupled with the generation of an electrochemical proton gradient [12,13], may represent an additional but necessary source of energy required for the correct execution of the death program [16,17]. Very recently we have reported that in liver mitochondria along with the release of cyto-c, ceramide, a well known inducer of apoptosis, promotes, the stimulation of the cytosolic NADH/cyto-c electron transport activity coupled with an increased generation of DWm useful for ATP synthesis [18].…”