The vesicular overexpressed in cancer prosurvival protein 1 (VOPP1) gene product (previously known as GASP and ECOP) has a poorly characterized functional role in cancer cells, although its expression levels are known to be elevated in many cancer types. To determine the role that VOPP1 has in human squamous cell carcinoma (SCC), a series of siRNA-mediated expression knockdown experiments were performed in carcinoma-derived model systems with confirmed endogenous VOPP1 overexpression (three SCC-derived cell lines: SCC-9, FaDu, and H2170, as well as the cervical adenocarcinoma HeLa cell line, which has been examined in relevant previous reports). The data indicate that VOPP1 knockdown induces cell death at 72 h post-transfection and this is caused by the induction of apoptosis via the intrinsic pathway. Analysis of microarray gene expression profiling showed that genes whose expression was affected by VOPP1 knockdown exhibited enrichment in annotations of oxidative stress and mitochondrial dysfunction. Reporters of reactive oxygen species (ROS) and mitochondrial membrane potential show that ROS levels become elevated and mitochondrial dysfunction occurs with VOPP1 knockdown at time points before the activation of effector caspases and cell death seen at later time points. Furthermore, the introduction of the antioxidant N-acetyl cysteine was able to abrogate the induction of apoptosis observed with VOPP1 knockdown in a dose-responsive manner. Reporter constructs for NF-kB-mediated transcription are not affected in SCC cell lines by VOPP1 knockdown. Taken together, these data support the hypothesis that VOPP1 overexpression in cancer participates in the control of the intracellular redox state, and that its loss leads to oxidative cellular injury leading to cell death by the intrinsic apoptotic pathway. The vesicular overexpressed in cancer prosurvival protein 1 (VOPP1) gene product, previously known as GASP 1 and ECOP, 2 has been shown to be upregulated in a number of human cancer types, including squamous cell carcinoma (SCC). 3,4 Reports from our group 4 and others 2 have shown that siRNA-mediated knockdown of VOPP1 in cell culture model systems results in cell death, consistent with the notion that VOPP1 overexpression has pro-survival effects in cancer biology. In certain experimental systems, results have suggested that VOPP1 may modulate the NF-kB signaling axis; 2,4,5 however, in a previous report, we had found that this association is not universal among cancer-derived cell lines. 4 Moreover, the localization of the VOPP1 protein to intracellular vesicles 3 makes the model of VOPP1 interaction with cytoplasmic NF-kB proteins problematic. To further elucidate the mechanism of VOPP1 siRNA-mediated cell death in relevant cancer-derived models of VOPP1 overexpression, we report here a series of experiments that: (i) better characterize the apoptotic pathway induced by VOPP1 knockdown in human SCC cell lines, (ii) provide additional evidence that NF-kB does not have a role in apoptosis caused by the loss of VO...