Promoting apoptosis is a strategy for cancer drug discovery. Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) induces apoptosis in a wide range of malignant cells. However, several cancers, including human hepatocellular carcinoma (HCC), exhibit a major resistance to TRAIL-induced cell death. Melittin, a water-soluble 26-amino acid peptide derived from bee venom of Apis mellifera, can exert toxic or inhibitory effects on many types of tumor cells. Here we report that melittin can induce apoptosis of HCC cells by activating Ca 2؉ / calmodulin-dependent protein kinase, transforming growth factor--activated kinase 1 (TAK1), and JNK/p38 MAPK. We show that melittin-induced apoptosis can be inhibited by calcium chelator, by inhibitors for Ca 2؉ /calmodulin-dependent protein kinase, JNK and p38, and by dominant negative TAK1. In the presence of melittin, TRAIL-induced apoptosis is significantly increased in TRAIL-resistant HCC cells, which may be attributed to melittin-induced TAK1-JNK/p38 activation and melittin-mediated inhibition of IB␣ kinase-NFB. Our data suggest that melittin can synergize with TRAIL in the induction of HCC cell apoptosis by activating the TAK1-JNK/p38 pathway but inhibiting the IB␣ kinase-NFB pathway. Therefore, the combination of melittin with TRAIL may be a promising therapeutic approach in the treatment of TRAIL-resistant human cancer.At present about 20 different ligands that belong to the tumor necrosis factor (TNF) 4 superfamily have been identified, among which TNF␣, lymphotoxin ␣, Fas ligand, apo3L, and TNF-related apoptosis-inducing ligand (TRAIL) have been characterized as major mediators of apoptosis (1, 2). TRAIL, in its soluble form, is emerging as an attractive anticancer agent because of its cancer cell specificity and potent antitumor activity (1, 2).TRAIL signals by interacting with its receptors (1). Thus far, five receptors (Fas ligand) have been identified, namely the two agonistic receptors, TRAIL-R1 and TRAIL-R2, and the three antagonistic receptors TRAIL-R3, TRAIL-R4, and osteoprotegerin (3-6). Binding of TRAIL to the extracellular domain of agonistic receptors results in the trimerization of the receptors and clustering of the intracellular death domains, which lead to the recruitment of the adaptor molecule Fas-associated protein with death domain (FADD) (1). Subsequently, FADD recruits and activates initiator caspase-8 and caspase-10, leading to cellular disassembly (1). Meanwhile, TRAIL-initiated apoptotic signaling requires an amplification loop by mitochondrial pathway engagement through impairment of the mitochondrial membrane permeability regulated by Bcl-2 family members, which sequentially leads to cytochrome c or Smac/DIABLO (second mitochondrial activator of caspases/direct IAP-binding protein with low isoelectric point (pI)) release, apoptosome formation, and the final DNA fragmentation (7).Similar to TNF-induced activation of the nuclear factor B (NFB) transcription factor and the MAPK pathway (1, 2), TRAIL can also initiate the activation of ...