Interactions between Bcl-2 homology-3 (BH3)-only proteins and their pro-survival Bcl-2 family binding partners initiate the intrinsic apoptosis pathway. These interactions are mediated by a short helical motif, the BH3 domain, on the BH3-only protein, which inserts into a hydrophobic groove on the pro-survival molecule. To identify novel peptidic ligands that bind Mcl-1, a pro-survival protein relative of Bcl-2, both human and mouse Mcl-1 were screened against large randomized phage-displayed peptide libraries. We identified a number of 16-mer peptides with sub-micromolar affinity that were highly selective for Mcl-1, as well as being somewhat selective for the species of Mcl-1 (human or mouse) against which the library was panned. Interestingly, these sequences all strongly resembled natural BH3 domain sequences. By switching residues within the best of the human Mcl-1-binding sequences, or extending beyond the core sequence identified, we were able to alter the pro-survival protein interaction profile of this peptide such that it now bound all members tightly and was a potent killer when introduced into cells. Introduction of an amide lock constraint within this sequence also increased its helicity and binding to pro-survival proteins. These data provide new insights into the determinants of BH3 domain:pro-survival protein affinity and selectivity.Cellular response to insult is critically dependent on the Bcl-2 homology-3 (BH3) 4 -only members of the Bcl-2 family of proteins (1). This sub-family harbors the BH3 domain, a short region of sequence necessary for cell killing. Although many BH3-only proteins are intrinsically unstructured (2), their BH3 domains form amphipathic ␣-helices that bind tightly to hydrophobic grooves present on pro-survival molecules such as Bcl-2 (3-7). Binding to the pro-survival proteins by the BH3-only proteins is a key step in triggering apoptosis, because this inactivates the pro-survival proteins, allowing the essential cell death mediators, Bax and Bak, to cause mitochondrial damage and thereby initiate cell death.Although the BH3-only proteins share significant sequence similarities within their BH3 domains, their overall sequences are largely divergent. Moreover, they are not comparable in their ability to bind the pro-survival Bcl-2 proteins (8 -10). For example, Bim binds Bcl-2, Bcl-x L , Bcl-w, Mcl-1, and Bfl-1 avidly, whereas Bad preferentially binds Bcl-2, Bcl-x L , and Bcl-w, and Noxa prefers Mcl-1 and Bfl-1 (8). In addition, certain BH3-only proteins, such as Bim, Bid, and perhaps Puma, can also activate the pro-apoptotic proteins Bax and Bak by direct binding, an interaction also mediated by their BH3 domains (10 -12).Small molecules that mimic the BH3-only proteins (BH3 mimetics) have shown enormous potential as anti-cancer therapeutics (13). One such molecule, ABT-737, mimics the prosurvival protein-binding profile of Bad. Because targeting a wider range of pro-survival proteins is required to activate apoptosis in some cell types (14), small molecules that mimic the...