BAK and BAX are the essential effectors of apoptosis because without them a cell is resistant to most apoptotic stimuli. BAK and BAX undergo conformation changes to homooligomerize then permeabilize the mitochondrial outer membrane during apoptosis. How BCL-2 homology 3 (BH3)-only proteins bind to activate BAK and BAX is unclear. We report that BH3-only proteins bind inactive full-length BAK at mitochondria and then dissociate following exposure of the BAK BH3 and BH4 domains before BAK homodimerization. Using a functional obstructive labeling approach, we show that activation of BAK involves important interactions of BH3-only proteins with both the canonical hydrophobic binding groove (α2-5) and α6 at the rear of BAK, with interaction at α6 promoting an open groove to receive a BH3-only protein. Once activated, how BAK homodimers multimerize to form the putative apoptotic pore is unknown. Obstructive labeling of BAK beyond the BH3 domain and hydrophobic groove did not inhibit multimerization and mitochondrial damage, indicating that critical protein-protein interfaces in BAK self-association are limited to the α2-5 homodimerization domain.AK and BAX are the pivotal effectors of intrinsic apoptosis, with one or the other being required for mitochondrial damage and cell death (1, 2). They are activated by interaction with BCL-2 homology 3 (BH3)-only proteins including BID and BIM (3). Structures show that peptides based on the BH3 domains of activator BH3-only proteins can bind directly to BAK and BAX via a hydrophobic groove (comprising α-helices 2-5) that is also shared with their prosurvival homologs (4-8). BAX has been proposed to have an additional activation site, distinct from the hydrophobic groove, at the rear of the molecule comprising α-helices 1 and 6 (9). Binding of stapled BH3 peptides at this site induced the dissociation of the BAX C-terminal transmembrane domain from the hydrophobic groove to facilitate mitochondrial localization (10, 11). Interaction of BH3-only proteins at this noncanonical site is not thought to be necessary for BAK activity because BAK is constitutively anchored in the mitochondrial outer membrane (MOM) via its transmembrane domain (12). However, recent reports that both BAX (13, 14) and BAK (15) are constantly "retrotranslocated" from the mitochondria to the cytosol suggest conserved mechanisms of activation for BAK and BAX.Characterizing the interaction of BH3-only proteins with fulllength BAK at mitochondria has proven difficult because the bound BH3-only protein dissociates during consequent BAK conformation changes, including exposure of the N-terminus (amino terminus) and and dissociation of their α2-5 helices ("core") from their α6-8 helices ("latch") (6, 7) to facilitate selfassociation. Additionally, structural studies have been largely confined to truncated protein or peptides in the absence of a membrane where interactions between BH3-only proteins and BAK occur.Once activated BAK and BAX self-associate to form pores that damage the MOM to release cytochrome c and...