Apoptosis is a genetically programmed cell death process that eliminates unwanted cells through activation of caspases. There are two main pathways that activate caspases - the extrinsic death receptor pathway where ligands bind to cell surface receptors, and the intrinsic mitochondrial pathway where increased permeability of mitochondria releases proteins that activate caspase. The Bcl-2 family of proteins regulate apoptosis by integrating both pro-apoptotic and anti-apoptotic signals to determine if a cell should undergo programmed cell death.