Programmed cell death, which is termed as apoptosis, is essential for
normal development and maintenance of tissue homeostasis in
multicellular organisms. Aberrant regulation of this pathway is linked
to multiple human diseases, including cancer, autoimmunity,
neurodegenerative disorders and diabetes. Apoptosis is pursued by two
pathways; extrinsic and intrinsic pathway. The intrinsic pathway of
apoptosis mainly relies on mitochondria where Bcl-2 family proteins
serve as the master regulators. Mitochondria mainly execute their
function through mitochondrial outer membrane permeabilization (MOMP).
MOMP leads to the release of several apoptogenic factors from
mitochondrial intermembrane space, such as cytochrome c and Smac/Diablo,
into the cytosol that activate downstream caspase and promote cell
death. Bcl-2 family proteins play key role by regulating MOMP. The
complex interaction among pro-and anti-apoptotic Bcl-2 family members
determine the possibility of MOMP and thereby determine the cellular
commitment to apoptosis. This review focuses on the mitochondrial
pathway of apoptosis, mechanism of MOMP and its regulation by Bcl-2
family proteins.