Even trace amounts of CO in the fuel for a proton-exchange membrane fuel cell (PEMFC) could poison not only the anode, which is directly exposed to the fuel, but also the cathode, which is separated from the fuel by a proton-exchange membrane; and the performance decline of the cathode is sometimes more than that of the anode. Adsorption of CO on the cathode catalyst has been detected electrochemically, and this indicates that CO can pass through the membrane to reach the cathode. To reduce such a poisoning effect, fuel cell operation conditions (e.g. level of membrane humidification, gas pressure difference between cathode and anode), membrane and catalyst layer structures, and CO-tolerant cathode catalysts should be further explored.