Mammalian sterile 20-like kinase 1 (MST1) 4 contains an Ste20-related kinase catalytic domain in the N-terminal region followed by a non-catalytic tail, which contains a successively autoinhibitory domain, a dimerization domain, two nuclear export sequences, and a nuclear localization signal (1). It has been shown that the non-catalytic tail of MST1 is cleaved by caspase upon various apoptotic stimuli, including death receptor triggering by CD95/FasL, staurosporine, etoposide, and ceramide as well as heat shock and arsenite. The cleaved MST1 translocates into the nucleus, where it promotes chromatin condensation and herein apoptosis (2-4). Previous studies suggest that MST1 induces apoptosis by phosphorylation of Histone H2B-Ser 14 in mammalian cells and Ser 10 in Saccharomyces cerevisiae (5,6). MST1 has also been implicated in the control of cell death via phosphorylation of FOXO3a-Ser 207 and the corresponding site of FOXO1-Ser 212 (7,8). In addition, Thr 183 within the N-terminal MST1 activation loop has been defined as a primary autophosphorylation site. The autophosphorylation of Thr 183 is essential for MST1 activation (9). Recent studies showed that Hippo in Drosophila, a homolog of mammalian MST1/2, inhibits cell growth and survival by interaction with Salvador (Sav) and Warts (Wts) resulting in inhibition of transcription and/or degradation of cyclin E and DIAPs (Drosophila inhibitor of apoptosis) (10, 11) through phosphorylation of Yorkie, the Drosophila ortholog of the mammalian transcription co-activator yes-associated protein (12). Yorkie and yes-associated protein have recently been shown to be negatively regulated by the Hippo/MST1/2 pathway and play an important role in mediating cell contact inhibition, organ size, and tumorigenesis (13,14). In mammals, MST1 has also been shown to activate JNK and p38 kinase pathways through MKK4/MKK7 and MKK3/MKK6, respectively (2).Accumulating evidence indicates that PI3K/Akt signaling is a major cell survival pathway. It suppresses apoptosis through regulation of a number of molecules (15). The first anti-apoptotic Akt target identified was BAD, a pro-apoptotic protein in the Bcl-2 family (16). Akt phosphorylates BAD on Ser 136 , which promotes the BAD releasing from Bcl-xL/BcL2 complex and binding 14-3-3 proteins in the cytosol, thus inactivating its pro-apoptotic function. It has been shown that Akt phosphorylates and inactivates FOXO family transcription factors (17), including FOXO1 (also called FKHR), FOXO3a (also named FKHRL1), and FOXO4 (also called AFX). The phosphorylation by Akt negatively regulates FOXO activity by relocalizing FOXO from the nucleus to the cytoplasm, where it is sequestered away from target genes through interacting with 14-3-3 (18). In addition, several pro-apoptotic and anti-apoptotic proteins are also phosphorylated by Akt, including ASK1 * This work was supported, in whole or in part, by National Institutes of Health Grants CA107078, CA137041, and P50 CA119997 and by Department of Defense Grant OC073222 and Bankhead-Coley Grant...