Referred to as the Mitochondrial pathway, death signals associated with physiological functions result in upstream signalling and activation of mitochondrial signalling proteins, this stimulates apoptotic signals, which results in a loss of membrane potential, permeability and release of contents, Cytochrome C binds to APAF1 (apoptotic protease activating factor) creating an exposure of the CARD domain, CARD, APAF1 and Cytochrome C all cluster together to form an apoptosome, this then recruits Caspase 9, which causes a cascade and activation of Caspase 3/7