Cardiolipin (CL) is an inner mitochondrial membrane phospholipid that contributes to optimal mitochondrial function and is gaining widespread attention in studies of mitochondria-mediated apoptosis. Divergent hypotheses describing the role of CL in cytochrome c release and apoptosis have evolved. We addressed this controversy directly by comparing the spontaneous-and Baxmediated cytochrome c release from mitochondria isolated from two strains of Saccharomyces cerevisiae: one lacking CL-synthase and therefore CL (⌬CRD1) and the other, its corresponding wild type (WT). We demonstrated by liquid chromatography-mass spectrometry that the main yeast CL species [(16:1) 2 (18:1) 2 ] differs in fatty acid composition from mammalian CL [(18:2) 4 ], and we verified the absence of the yeast CL species in the ⌬CRD1 strain. We also demonstrated that the mitochondrial association of Bax and the resulting cytochrome c release is not dependent on the CL content of the yeast mitochondrial membranes. Bax inserted equally into both WT and ⌬CRD1 mitochondrial membranes under conditions that lead to the release of cytochrome c from both strains of yeast mitochondria. Furthermore, using models of synthetic liposomes and isolated yeast mitochondria, we found that cytochrome c was bound more "loosely" to the CL-deficient systems compared with when CL is present. These data challenge recent studies implicating that CL is required for Bax-mediated pore formation leading to the release of proteins from the mitochondrial intermembrane space. In contrast, they support our recently proposed two-step mechanism of cytochrome c release, which suggests that CL is required for binding cytochrome c to the inner mitochondrial membrane.Cardiolipin (CL, 1 see Fig. 1A) is an unsaturated, anionic phospholipid found exclusively in the inner mitochondrial membrane of eukaryotic cells (1, 2). Due to its intracellular distribution, CL has been postulated, and more recently demonstrated, to be an essential component in many mitochondrial processes such as electron transport, ADP/ATP translocation, ion permeability, membrane integrity, and protein function and transport (1,3,4).A phospholipid/protein interaction that is of recent interest in apoptosis research is that of CL and cytochrome c. Cytochrome c is a water-soluble basic protein that is bound to the mitochondrial inner membrane by its association with CL, where it can reversibly interact with complexes III and IV of the respiratory chain. The molecular interaction between CL and cytochrome c has been extensively studied using multiple biochemical and analytical approaches. It is well established that cytochrome c specifically and stoichiometrically binds to CL (5), thus anchoring the protein to the inner mitochondrial membrane to participate in electron transport thereby ensuring a limited soluble pool of the protein. The interaction of cytochrome c with CL involves electrostatic interactions at the A-site of cytochrome c, whereas hydrophobic interactions and hydrogen bonding take place at its C-site...