BH3-only proteins can act either as sensitizers by inhibiting the anti-apoptotic multidomain proteins (e.g., BCL-2, BCL-W, BCL-XL) or as activators by directly activating proapoptotic multidomain proteins (BAK and BAX). Ultimately, BAK/BAX activation and pore formation leads to mitochondrial outer membrane permeabi-lization (MOMP), cytochrome c release, activation of the caspase network, and cell death. BCL-2 family member functional roles and relationships are indicated as either activating (arrow) or inhibitory (crossed)