The Bax protein (Bcl-2-associated X protein) is pivotal for the apoptotic process. Bax, which resides in an inactive form in the cytosol of healthy cells, is activated during the early stages of apoptosis and becomes associated with mitochondria through poorly understood mechanisms. In this study, we show that a family of bioactive lipids, namely prostaglandins, regulates Bax-dependent apoptosis. The prostaglandin E 2 (PGE 2 ) or its derivative PGA 2 binds to Bax, induces its change of conformation, and thereby triggers apoptosis. A cysteine present in the loop between the two transmembrane a-helices of Bax, Cys126 is critical for its activation. PGD 2 inhibits PGE 2 binding to Bax and PGE 2 -induced apoptosis, as well as cell death induced by staurosporine and UV-B in various cell lines. This result is consistent with the fact that apoptosis is accompanied during these treatments by an increase in PGE 2 . This process is distinct, yet cooperative, from that involving the BH3-only protein Bid. Our results establish that the PGE 2 /PGD 2 balance is involved in a new early mechanism of control in the activation of Bax during apoptosis. Cell Death and Differentiation (2011) 18, 528-537; doi:10.1038/cdd.2010.128; published online 22 October 2010Members of the Bcl-2 (Bcl-2-associated X protein) family of proteins determine both the initiation and the execution of mitochondrial outer membrane permeabilization (MOMP) and the subsequent apoptosis. These proteins share a similar solution structure, and are subdivided into two groups: antiapoptotic proteins (e.g., Bcl-2, Bcl-Xl, Bcl-W and Mcl-1) and proapoptotic proteins, which control apoptosis through complex interaction with each other. Proapoptotic proteins are further subdivided into multidomain proteins (namely, Bax, Bak and Bok) and BH3-only proteins (e.g., Bim, Bad, Bid, Puma or Noxa) whose homology with Bcl-2 is limited to the BH3 domain. BH3-only proteins function as upstream sensors that selectively respond to specific signals and promote the proapoptotic function of Bax and/or Bak. Both in vivo and in vitro experiments have proved that the conformation of monomeric Bax/Bak change upon induction of apoptosis, leading to their oligomerization in the mitochondrial membrane and MOMP. [1][2][3] How Bax and Bak are activated is a matter of debate. 2,4 A widely accepted model proposes that some BH3-only proteins called 'activators' (tBid, Bim and Puma) induce the Bax/Bak apoptotic conformational change through transient physical interaction in a 'hit and run' manner. Another group named 'enabler' (also called derepressor or sensitizer) can release Bax and Bak from antiapoptotic proteins, which in turn trigger MOMP. [1][2][3] The existence of a direct interaction of Bax/Bak with BH3-only proteins has been challenged, suggesting the existence of alternative mechanisms responsible for the activation of Bax or Bak. A change in pH or temperature has also been shown to facilitate the transition between the inactive and active states of Bax, supporting a role for nonprotein...