Induced antisense RNA expression in monolayer cultures decreased ATB 0 /ASCT2 mRNA levels by 73% and glutamine transport rates by 65% compared with controls after 24 h, leading to a 98% decrease in cell number after 48 h. Cellular death was attributable to apoptosis based on cellular blebbing, caspase-3 activation, vital dye and terminal deoxynucleotidyl transferase-mediated dUTP nick-end labeling staining, and poly-(ADP-ribose) polymerase (PARP) cleavage. Transporter knockdown also markedly increased activities of caspases-2 and -9, marginally enhanced caspase-8 activity, and dramatically increased ASCT1 mRNA levels, presumably as a futile compensatory response. Apoptosis elicited via transporter silencing was not attributable to the double-stranded RNA-dependent protein kinase R (PKR) pathway. For comparison, glutamine deprivation also caused apoptotic cell death but with slower temporal kinetics, stimulated caspases-2 and -3 but not caspases-8 or -9 activities, and led to considerable PARP cleavage. Thus ASCT2 suppression exerts proapoptotic effects transcending those of glutamine starvation alone. We conclude that ATB 0 /ASCT2 expression is necessary for SK-Hep cell growth and viability and suggest that it be further explored as a selective target for human hepatocellular carcinoma.caspase; glutamine; hepatocellular carcinoma THE AMINO ACID GLUTAMINE IS avidly utilized by multiple cell types in the body as a metabolic intermediate, contributing carbon and nitrogen for the synthesis of other amino acids, fatty acids, nucleic acids, and proteins, and it also serves as an oxidizable substrate for ATP production in dividing cells (22). Its pivotal role in cellular metabolism is underscored by its relatively high turnover rate in all cell types (12)