In this study, we examined whether exogenous b 2 -microglobulin (b 2 m) can induce apoptosis in the drug sensitive HL-60 leukemia cell line and its drug resistant variants and investigated the molecular mechanism of b 2 m-induced apoptosis. Our data revealed that b 2 m is very signi®cantly down-regulated in two multidrug resistant variants of the HL-60 cells: (a) the MRP1-bearing, Bax-de®cient HL-60/ADR cell line, and (b) the P-glycoprotein (P-gp) overexpressing HL-60/VCR cell line. However, exogenous b 2 m induced similar levels of apoptosis in HL-60 cells and these drug resistant variants. b 2 m-induced apoptosis in HL-60 and HL-60/ VCR cells was associated with decreased mitochondrial membrane potential (Dcm) but did not a ect Dcm in HL-60/ADR cells. Surprisingly, cyclosporin A (CsA), a known inhibitor of the mitochondrial permeability transition (MPT) pore, inhibited b 2 m-induced apoptosis in HL-60/ADR cells but not in HL-60 and HL-60/VCR cells, suggesting that the pro-apoptotic e ect of b 2 m in these cells is not through MPT pore formation. Furthermore, b 2 m induced the release of cytochrome c and the apoptosis-inducing factor (AIF) from mitochondria in HL-60 and HL-60/VCR cells, but not in HL-60/ ADR cells. Additionally, Z-VAD-fmk, a general inhibitor of caspases which inhibited cytochrome c release in HL-60 and HL-60/VCR cells, had no e ect on AIF release in any of these cell lines, but inhibited b 2 m-induced apoptosis in all three cell lines. However, Western blot analysis revealed that caspases-1, -3, -6, -8, and -9 are not activated during b 2 m-induced apoptosis in these cells. Therefore, b 2 m-induces apoptosis through an unknown caspase-dependent mitochondrial pathway in HL-60 and HL-60/VCR cells and by a Bax-independent, nonmitochodrial, caspase-dependent pathway in HL-60/ ADR cells. Oncogene (2001) 20, 7006 ± 7020.