Fibrosis, apoptosis, and the exaggerated production of transforming growth factor (TGF)- 1 are juxtaposed in a variety of pulmonary diseases including the interstitial lung diseases and asthma. In these disorders, the relationships between these responses are not well defined. In addition, the apoptosis pathways that contribute to these responses and the mechanism(s) of their contribution have not been described. We hypothesized that BH3 domain-only protein-induced apoptosis plays an important role in the pathogenesis of TGF- 1 -induced pulmonary responses. To test this hypothesis, we characterized the effects of transgenic TGF- 1 in mice with wild type (WT) and null Bax loci. To investigate the mechanisms of Bax activation and its effector functions, we also compared the effects of TGF- 1 in mice with WT and null Bid and matrix metalloproteinase (MMP)-12 loci, respectively. These studies demonstrate that TGF- 1 is a potent stimulator of Bax, Bid, and MMP-12. The studies also demonstrate that Bax and Bid play key roles in the pathogenesis of TGF- 1 -induced inflammation, fibrosis, and apoptosis; that TGF- 1 stimulates MMP-12, TIMP-1, and cathepsins and inhibits MMP-9 and p21 via Bax-and Bid-dependent mechanisms; and that TGF- 1 -stimulated pulmonary fibrosis is ameliorated in MMP-12-deficient animals. Finally, they demonstrate that Bax, Bid, and MMP-12 play similar roles in bleomycin-induced fibrosis, thereby highlighting the importance of this Bid-activated, Baxmediated pathway and downstream MMP-12 in a variety of fibrogenic settings.Fibrosis is an important cause of morbidity and mortality in the lung and other organs. This can be seen in the interstitial lung diseases (ILD) including idiopathic pulmonary fibrosis (IPF), scleroderma, radiation-induced pulmonary fibrosis, and bleomycin lung where matrix molecule deposition, enhanced collagen accumulation, and alveolar septal rupture with honeycombing are seen and can lead to fatal consequences (1-4). It is also seen in asthma, which is characterized by chronic inflammation and subepithelial airway fibrosis (5, 6). Pathologic examinations have highlighted the frequent juxtaposition of fibrosis, structural cell (usually epithelial cell) apoptosis, and the exaggerated production of transforming growth factor (TGF) 2 - 1 in these diseases and models of these disorders (1,(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22). Studies have also demonstrated that TGF- 1 plays an essential role in wound healing and matrix molecule deposition, and induces fibrotic and alveolar remodeling responses in vivo (14, 16, 17, 20 -23). They also demonstrated that TGF- 1 is a potent stimulator of epithelial apoptosis (22, 24 -27) and that interventions that block apoptosis can ameliorate fibrotic and alveolar remodeling responses in a variety of experimental systems (7, 22). As a result of these studies, TGF- 1 is believed to be a critical mediator of pathologic, fibrotic, and remodeling responses in the lung and other organs, and these responses are believe...