Protein kinase C (PKC) is an atypical PKC isoform that plays an important role in supporting cell survival but the mechanism(s) involved is not fully understood. Bax is a major member of the Bcl-2 family that is required for apoptotic cell death. Because Bax is extensively co-expressed with PKC in both small cell lung cancer (SCLC) and non-small cell lung cancer (NSCLC) cells, it is possible that Bax may act as the downstream target of PKC in regulating survival and chemosensitivity of lung cancer cells. Here we discovered that treatment of cells with nicotine not only enhances PKC activity but also results in Bax phosphorylation and prolonged cell survival, which is suppressed by a PKC specific inhibitor (a myristoylated PKC pseudosubstrate peptide). Purified, active PKC directly phosphorylates Bax in vitro. Overexpression of wild type or the constitutively active A119D but not the dominant negative K281W PKC mutant results in Bax phosphorylation at serine 184. PKC co-localizes and interacts with Bax at the BH3 domain. Apoptosis through the mitochondrial pathway is mainly controlled and mediated by Bcl2 family proteins. Bax is a major multidomain proapoptotic member of the Bcl2 family that is required for apoptotic cell death (1). However, the signaling mechanism(s) by which Bax is regulated remains enigmatic. It has been proposed that activation of the proapoptotic function of Bax likely occurs through several interdependent mechanisms including translocation from cytosol to mitochondria (2), oligomerization, and insertion into mitochondrial membranes following stress (3-5). Recent reports indicate that the proapoptotic activity of Bax can also be regulated by phosphorylation, a post-translational modification (6 -9). Growth factor (i.e. granulocyte macrophate-colony-stimulating factor) or survival agonist (i.e. nicotine)-induced Bax phosphorylation at Ser 184 through activation of AKT potently suppresses the proapoptotic activity of Bax and prolongs cell survival (6, 9). In contrast, c-Jun NH 2 -terminal kinase (JNK)-induced Thr 167 or glycogen synthase kinase-induced Ser 163 phosphorylation of Bax may enhance the proapoptotic activity of Bax (7-8). Intriguingly, we recently discovered that protein phosphatase 2A functions as a physiological Bax phosphatase that not only dephosphorylates Bax but also potently activates its proapoptotic function (10).The protein kinase C (PKC) 2 family is a multigene family that can be subclassified into three groups including classical, novel, and atypical PKC isoforms according to differences in the lipid activation profile. The mechanisms for activation have been established for sequential phosphorylation, the recruiting of proper localization, and the exchanging of binding proteins (11). Growing evidence indicates that PKC family members play important roles in regulating cell survival and apoptosis (12)(13)(14)(15). For example, the classic PKC␣-induced Bcl-2 phosphorylation enhances antiapoptotic function of Bcl2 in association with increased chemoresistance of human leu...