Although previous studies have shown that a mixture of fatty acids in similar proportion to that found in human plasma triggers apoptosis of peripheral blood lymphocytes from healthy subjects, the mechanism involved remains unknown. In the present study, we examined whether the effect of a mixture of fatty acids upon human lymphocyte death involves cytochrome c release from the mitochondria, activation of caspases 3, 6, 8, and 9, production of superoxide anion, nitric oxide (NO), increase in cytosolic Ca(2+) levels, and expression of the anti-apoptotic 14-3-3 and the pro-apoptotic FasL, bad, and bid proteins. Peripheral blood lymphocytes from healthy subjects were isolated and treated for up to 48 h with increasing concentrations (0.1-0.4 mM) of the fatty acid mixture. Cells were then harvested and thecytochromec release from mitochondrial intermembrane space into cytosol and expression of anti- and pro-apoptotic proteins were investigated by western blot analysis. Activities of caspases 3, 6, 8, and 9 were determined using spectrofluorometric assays. NO production was monitored using DAF-2-FM probe. Cytosolic free calcium concentration ([Ca(2+)](i)) was determined using the fluorescent probe Fura-2-AM. Superoxide anion was assayed using lucigenin and dihydroethidine assays. Lymphocytes treated for 24 h with the fatty acid mixture presented increased cytochrome c release from mitochondria as compared with control lymphocytes without treatment. Activities of caspases 3, 6, and 9 were increased by 146, 22 and 35% respectively by the treatment with 0.4 mM concentration of the fatty acid mixture for 24 h. The expression of bid protein was significantly increased in lymphocytes by 40% at 0.2 mM and by 80% at 0.4 mM fatty acid concentration, whereas FasL, 14-3-3 and bad proteins were not affected by the treatment. Intracellular calcium concentration was increased in a dose-dependent manner after 30 min of fatty acid treatment and addition of BSA (0.2%) abolished this increase. Production of NO and superoxide anion was also increased by the fatty acid mixture and BSA loaded in the culture medium prevented this increase. In conclusion, fatty acids induced apoptosis of human lymphocytes by a mechanism that involved cytochrome c release from mitochondria, activation of the caspase cascade, and increase of bid protein content, superoxide and NO production, and of cytosolic calcium concentration.