The third most common cancer in the world is colorectal cancer (CRC), one of the most common causes of death worldwide, and the process is very complex (
1,
2). Colorectal cancer has mortality rates that vary around the world (
3). Most colorectal cancers are owing to lifestyle attributes and old age, with only a small number of cases due to genetic disturbance (
4). Recently research had led to development of agents that specifically inhibit tumor growth. Documents also support the view that the colonic microflora are involved in the progress of CRC (
5-
7). One of the practical treatments against infectious diseases and cancer are cationic antimicrobial peptides (CAPs) that have become a considerable interest (
8). Studies have shown that the outer membranes of cancer cells compared to normal cells contain molecules with higher negative charge, such as glycosaminoglycans, glycoproteins and phosphatidylserines (
9). The CAPs, due to their amphipathic and cationic properties, may bind to cancer cells by electrostatic influence, resulting in the cytotoxicity of cancer cells (
10,
11). Among CAPs, nisin is the only one approved by FDA. Nisin is a polycyclic antibacterial peptide, which is produced by
Lactococcus lactis. Nisin is not toxic for human consumption. Bacteriocins such as nisin have recently been used to inhibit the growth of cancer cells or induction of cancer cells apoptosis (
7,
12). Apoptosis is a type of cell death that results in the loss of cells without the release of harmful substances into the environment. According to the latest research, apoptosis involves two major external and intrinsic pathways (
13). Activation of death receptors and then
caspase 8 and executive caspases are via external pathways. Moreover,
caspase 9 initiates the intrinsic pathway and then executive caspases are activated. Executive
caspases activation (
caspase 6, 3) is followed by activation of primary
caspases (caspase 9 or caspase 8) (
14,
15). We now describe the impact of nisin on the colorectal cancer cell line in the expression of
caspase 8 as the initiator of the external pathway and
caspase 9 as the initiator of the internal pathway and that
caspase 3 and
caspase 6, are effector
caspases that execute apoptosis.