Smac mimetic sensitizes FADD- or caspase-8-deficient cells for TNFα-induced cell death. (A) WT (white bars), FADD-deficient (light gray bars), caspase-8-deficient (dark gray bars), or caspase-8-deficient and Bcl-2-overexpressing (black bars) Jurkat cells were pretreated with BV6 (1 µM, 2 hours) before being stimulated with 1 ng/ml TNFα for 4 hours. (B) WT (closed symbols) or FADD-deficient (open symbols) Jurkat cells were pretreated with BV6 (1 µM, 2 hours) before being stimulated with 1 ng/ml TNFα for indicated times. (C) FADD-deficient (left panel) or WT (right panel) Jurkat cells were pretreated for 2 hours with indicated concentrations of BV6 (white bars indicate 0 µM; light gray bars, 0.1 µM; dark gray bars, 1 µM; black bars, 3 µM) before adding the indicated concentrations of TNFα for 24 hours. (D) Primary leukemic blasts from three different children with ALL before the onset of chemotherapy were treated with 100 ng/ml TNFα and/or 100 nM BV6 or dimethyl sulfoxide (DMSO). In A to C, cell death was analyzed by PI staining; and in D, by forward side scatter analysis. In A to C, data are the mean and SD of at least three independent experiments performed in triplicate. **P < .001 comparing cells treated with BV6 and TNFα compared with DMSO-treated cells. In D, data are the mean of one experiment performed in duplicate.