Wilson's disease results from mutations in the P‐type Cu2+‐ATPase causing Cu2+ toxicity. We previously demonstrated that exposure of mixed neuronal/glial cultures to 20μM Cu2+ induced ATP loss and death that were attenuated by mitochondrial substrates, activators, and cofactors. Here, we show differential cellular sensitivity to Cu2+ that was equalized to 5 μM in the presence of the copper exchanger/ionophore, disulfiram. Because Cu2+ facilitates formation of oxygen radicals (ROS) which inhibit pyruvate dehydrogenase (PDH) and alpha‐ketoglutarate dehydrogenase (KGDH), we hypothesized that their inhibition contributed to Cu2+‐induced death. Toxic CU2+ exposure was accompanied by early inhibition of neuronal and hepatocellular PDH and KGDH activities, followed by reduced mitochondrial transmembrane potential, ΔΨM. Thiamine (1–6mM), and dihydrolipoic acid (LA, 50μM), required cofactors for PDH and KGDH, attenuated this enzymatic inhibition and subsequent death in all cell types. Furthermore, liver PDH and KGDH activities were reduced in the Atp7b mouse model of Wilson's disease prior to liver damage, and were partially restored by oral thiamine supplementation. These data support our hypothesis that Cu2+‐induced ROS may inhibit PDH and KGDH resulting in neuronal and hepatocellular death. Therefore, thiamine or lipoic acid may constitute potential therapeutic agents for Wilson's disease.