Aim: To investigate the role of crotoxin (CrTX)âinduced autophagy in the death of MCFâ7 cells, a caspaseâ3âdeficient, human breast cancer cell line. Methods: Cultured MCFâ7 cells were treated with various doses of CrTX, a phospholipase A2 (PLA2) isolated from the venom of the South American rattlesnake, Crotalus durissus terrificus. The cytotoxicity of CrTX in the presence and absence of caspase inhibitors was measured with methyl thiazolyl tetrazolium (MTT) and lactate dehydrogenase (LDH) leakage assays. The activation of autophagy was determined with transmission electron microscope and monodansylcadaverin (MDC) labeling. The upregulation of lysosomal enzymes, the release of cytoâchrome c (cytoâc), and the nuclear translocation of the apoptosis inducing factor (AIF) were examined by immunoblotting and immunofluorescence. Results: CrTX inhibited the viability of MCFâ7 cells in a doseâ and timeâdependent manner. CrTXâactivated autophagy was revealed by punctuate MDC labeling, and an increase in the formation of autophagosomes as well as apoptosis, as evidenced by nuclear condensation and fragmentation. The activation of cathepsin B, D, and L, in addition to the release of cytochrome c and the relocation of AIF into nuclei, were observed after CrTX treatment. Autophagy inhibitors 3âmethyladenine (3âMA), NH4Cl, and the panâcaspase inhibitor, ZâValâAlaâAspâfluoromethylketone (ZâVadâfmk), attenuated CrTXâinduced cell death. Conclusion: An autophagic mechanism contributes to the apoptosis of MCFâ7 cells induced by CrTX.