We recently identi®ed inositol hexakisphosphate kinase 2 (IP6K2) as a positive regulator of apoptosis. Overexpression of IP6K2 enhances apoptosis induced by interferon-b (IFN-b) and cytotoxic agents in NIH-OVCAR-3 ovarian carcinoma cells. In this study, we contrast and compare IFN-b and radiation-induced death, and show that IP6K2 expression sensitizes tumor cells. Unirradiated NIH-OVCAR-3 cells transfected with IP6K2 formed fewer colonies compared to unirradiated vector-expressing cells. IP6K2 overexpression caused increased radiosensitivity, evidenced by decreased colony forming units (CFU). Both IFN-b and radiation induced caspase 8. IFN-b, but not g-irradiation, induced TRAIL in NIH-OVCAR-3 cells. Gamma irradiation, but not IFN-b, induced DR4 mRNA. Apoptotic e ects of IFN-b or g-irradiation were blocked by expression of a dominant negative mutant death receptor 5 (DR5D) or by Bcl-2. Caspase-8 mRNA induction was more pronounced in IP6K2-expressing cells compared to vector-expressing cells. These data suggest that overexpression of IP6K2 enhances sensitivity of some ovarian carcinomas to radiation and IFN-b. IP6K2 may function to enhance the expression and/or function of caspase 8 and DR4 following cell injury. Both IFN-b and girradiation induce apoptosis through the extrinsic, receptor-mediated pathway, IFN-b through TRAIL, radiation through DR4, and both through caspase 8. The function of both death inducers is positively regulated by IP6K2.