“…In contrast, transcription independent p53 apoptosis is mediated by interactions of mitochondrial p53 with Bcl-2 [46]. Although the class II catalytic inhibitors, ICRF-193 and merbarone, and the catalytic inhibitor of topoisomerase I, betulinic acid, are not known to induce apoptosis via Bcl-2 genes [20,22,32,39], the class I poison inhibitor of topoisomerase I, CPT and the catalytic inhibitor, -lapachone, stimulates this mitochondrial apoptosis pathway [33,42,43]. In the present experiment, p53 upregulation was sustained for 24 h of exposure to 3EZ, 20Ac-ingenol, and Bax expression was elevated, Bcl-2 protein was downregulated, and caspase 3 was activated at this time point.…”