The past 25 years of research has brought us close to understanding the apoptotic form of programmed cell death, a major regulatory mechanism that shapes us during embryogenesis and keeps us properly functional and healthy on a daily basis. We know that mistakes in regulating this process contribute to various human diseases ranging from cancer, autoimmunity, immunodeficiency to neurodegenerative diseases, and we now have novel drugs targeting apoptosisregulatory molecules in development or at hand. Some of these compounds have entered clinical trials and might be beneficial in curing diseases such as cancer, particularly in combination with other classical therapeutics.Apoptosis proceeds through two major signaling pathways, an extrinsic pathway initiated by TNF-like death ligands and an intrinsic pathway involving mitochondrial outer membrane permeabilization (MOMP) triggered by a variety of apoptotic stimuli, such as chemotherapeutic drugs, irradiation, the deprivation of growth factors/cytokines or cell-matrix interactions and others. The molecular mechanisms involved in extrinsic apoptosis signaling induced by TNFa and its related cousin FasL have been largely defined, and basically involve the clustering of their respective receptors and the recruitment and activation of initiator caspases-8 and 10 via the FADD adapter molecule and the subsequent cleavage and activation of the effector caspases-3 and 7 by the initiator caspases. It is also well known that in some particular cells, the extrinsic pathway can crosstalk with the intrinsic pathway via cleavage of the BH3 protein Bid by caspase-8. What might be a deviation of the theme is the signaling pathway induced by the TNF-like ligand TRAIL. In this case, yet unidentified molecules may modulate the caspase-8/caspase-3 activation axis. Moreover, caspase-8 has recently become implicated in novel death signaling pathways that emerge from within the cell such as after viral infection, glucose deprivation or the induction of autophagy. Finally, we know now that under caspase-inhibiting conditions, TNFa can also activate alternative death signaling such as necroptosis, which involves RIP-like protein kinases that may crosstalk with mitochondria.Intrinsic, mitochondria-mediated apoptosis signaling is tightly regulated by members of the Bcl-2 family. A subgroup of the family, the BH3 proteins both 'sense' the apoptotic stimuli by posttranscriptional mechanisms and function as the mediators of transcriptional responses. The full scope of the posttranscriptional mechanisms has not yet been unveiled, but we know that it often exposes and/or structures a particular domain in these proteins, called the BH3 domain, which then is able to activate MOMP via two basic strategies: (i) to bind to the hydrophobic pocket of Bcl-2-like survival factors, such as Bcl-2, Bcl-x L , Bcl-w, Mcl-1 and A1, inhibiting them and thereby releasing the pre-bound third subclass of the family, the Bax and Bak effectors, or (ii) to directly activate Bax and Bak on the mitochondrial membrane. Th...