Bax is kept inactive in the cytosol by refolding its C-terminal transmembrane domain into the hydrophobic binding pocket. Although energetic calculations predicted this conformation to be stable, numerous Bax binding proteins were reported and suggested to further stabilize inactive Bax. Unfortunately, most of them have not been validated in a physiological context on the endogenous level. Here we use gel filtration analysis of the cytosol of primary and established cells to show that endogenous, inactive Bax runs 20 -30 kDa higher than recombinant Bax, suggesting Bax dimerization or the binding of a small protein. Dimerization was excluded by a lack of interaction of differentially tagged Bax proteins and by comparing the sizes of dimerized recombinant Bax with cytosolic Bax on blue native gels. Surprisingly, when analyzing cytosolic Bax complexes by high sensitivity mass spectrometry after anti-Bax immunoprecipitation or consecutive purification by gel filtration and blue native gel electrophoresis, we detected only one protein, called p23 hsp90 co-chaperone, which consistently and specifically copurified with Bax. However, this protein could not be validated as a crucial inhibitory Bax binding partner as its over-or underexpression did not show any apoptosis defects. By contrast, cytosolic Bax exhibits a slight molecular mass shift on SDS-PAGE as compared with recombinant Bax, which suggests a posttranslational modification and/or a structural difference between the two proteins. We propose that in most healthy cells, cytosolic endogenous Bax is a monomeric protein that does not necessarily need a binding partner to keep its pro-apoptotic activity in check.It has become widely accepted that the pro-apoptotic members of the Bcl-2 family, Bax and Bak, are crucial for the permeabilization of the outer mitochondrial membrane (MOMP), 4 a prerequisite of the release of apoptogenic factors such as cytochrome c from the intermembrane space and a point-of-no-return for caspase-dependent and -independent apoptotic processes (1). Whereas Bak is an integral MOM protein inhibited by pro-survival Bcl-2 proteins (2, 3) and/or voltage-dependent anion channel-2 (4, 5), Bax is soluble and resides inactive in the cytosol or loosely attached to mitochondria (6, 7). In response to various apoptotic stimuli, both Bax and Bak undergo conformational changes (8 -10), oligomerize (11, 12), and form proteinaceous (13,14) or lipidic pores (15, 16) through yet unknown mechanisms (1). These conformational changes occur in the MOM and require a tight cooperation between Bax or Bak, BH3-only proteins, and the lipid bilayer. The current model postulates that some BH3-only proteins such as Bid, Bim, and Puma rapidly translocate to the MOM after their synthesis and/or posttranslational modification (17-19) and then serve as activators of Bax and Bak (20 -25). As Bak is already an inserted protein, the role of Bid, Bim, and Puma is probably to disengage Bak from its inhibitors (2, 20), allowing its conformational change and oligomerization. How...