Cell death (CD) is a very important process in the development and conservation of multicellular organisms maintaining the equilibrium between life and death (10). Disorders in CD lead to (i) embryogenic problems after exposure to a wide variety of teratogens, (ii) neurodegenerative diseases, and (iii) cancer (17,28). Apoptosis is a type of CD that is morphologically defined by cellular and nuclear shrinkage, chromatin condensation, DNA fragmentation, and the formation of apoptotic bodies. It is generally accepted that execution of the apoptotic pathway relies on the activation of a family of cysteine proteases, also known as caspases (21). However, activation of caspases is not a hallmark of every cell undergoing a death process. Several authors have shown that cell death occurs even in the presence of caspase inhibitors, giving rise to the concept of caspase-independent cell death (CICD). Cells experiencing CICD feature morphological changes resembling apoptosis but do not engage caspases to disassemble the cell (1,5,21).In one of the first CICD reports, Xiang et al. (40) proved that N-benzyloxycarbonyl-Val-Ala-Asp-fluoromethylketone (z-Vad-fmk), a general caspase inhibitor, blocked caspase proteolytic activity but did not prevent the suicide of Jurkat cells overexpressing BAX. In addition, data from a different study demonstrated that BH3 domain-only molecules kill cells deficient in the downstream effectors Apaf-1, caspase 9, and caspase 3 by a caspase-independent process of mitochondrial dysfunction (9). CICD has also been associated with hostpathogen interactions; for instance, it has been reported that soluble toxins of Escherichia coli activated CD via extracellular signal-regulated kinase (ERK) signaling in renal proximal tubular epithelial cells without caspase involvement (8). Additionally, Salmond et al. (36) demonstrated that the B subunit of E. coli heat-labile enterotoxin (EtxB) induced a rapid loss of mitochondrial membrane potential and cell viability, which were not affected by caspase inhibitors, in CD8 ϩ T cells. Moreover, Carrero et al. (7) proved that listeriolysin O induced loss of mitochondrial membrane potential and that exposure of phosphatidylserine on the cell surface was not abrogated by the incubation of a pan-caspase inhibitor with murine T cells. Finally, pneumococci and the major cytotoxins H 2 O 2 and pneumolysin have been shown to induce apoptosis-like programmed cell death of cerebral endothelial cells in the presence of rapid mitochondrial damage that was followed by translocation of mitochondrial apoptosis-inducing factor (AIF) into the cytoplasm (3).