Sepsis is a leading cause of death, which is characterized by uncontrolled inflammatory response. In this study, we report that caveolin-1, a major component of caveolae, is a critical survival factor of sepsis. We induced sepsis using a well established sepsis animal model, cecal ligation and puncture (CLP). CLP induced 67% fatality in caveolin-1 null mice, but only 27% fatality in wild type littermates (p ؍ 0.015). Further studies revealed that mice deficient in caveolin-1 exhibited marked increase in tumor necrosis factor-␣ and interleukin-6 production 20 h following CLP treatment, indicating uncontrolled inflammatory responses in the absence of caveolin-1. Caveolin-1 null mice also had a significant increase in bacteria number recovered from liver and spleen, indicating elevated bacterial burdens. In addition, caveolin-1 null mice had a 2-fold increase in thymocyte apoptosis compared with wild type littermates, indicating caveolin-1 as a critical modulator of thymocyte apoptosis during sepsis. In conclusion, our findings demonstrate that caveolin-1 is a critical protective modulator of sepsis in mice. Caveolin-1 exerts its protective function likely through its roles in modulating inflammatory response, alleviating bacterial burdens, and suppressing thymocyte apoptosis.Sepsis is one of the major causes of death, which claims over 215,000 lives and costs $16.7 billion per year in America alone (1-3). The death rate from sepsis is high, exceeding 50%, due to poor understanding of the disease (4). Identifying molecules involved in sepsis, especially endogenous protective modulators, is of great importance, not only in understanding the mechanisms but also in providing new insights for efficient therapies.Caveolae, a subset of lipid rafts, are microdomains of the plasma membrane that are enriched in cholesterol and sphingolipids (5). In addition to its specific lipid compositions, caveolae also contain abundant signaling molecules such as nitricoxide synthase (NOS) 3 and TLR4 and Src family tyrosine kinases, which provide a platform for signal transduction. Caveolin-1, a 24-kDa protein, is a major component of caveolae and has been used as a marker protein of caveolae (6). Disruption of the caveolin-1 gene leads to loss of caveolae (7), indicating an essential role of caveolin-1 in caveolae formation. Given the importance of caveolae in signal transduction, it is not surprising that caveolin-1 has been implicated in a variety of cellular processes such as endocytosis, phagocytosis, and cholesterol trafficking (5-6, 8).Evidence from the caveolin-1 null mouse model has established an inhibitory role of caveolin-1 in cell proliferation and tissue homeostasis. For example, mice deficient in caveolin-1 display hypercellularity in lungs and heart (7, 9 -10). A number of studies also suggest a role of caveolin-1 in apoptosis. However, the role of caveolin-1 in regulating apoptotic cell death is controversial and seems to be cell type-specific and depend on stimuli. For example, knockdown of caveolin-1 by short hairpi...