Econazole is an azole antifungal with anticancer activity that blocks Ca 2+ influx and stimulates endoplasmic reticulum (ER) Ca 2+ release through the generation of mitochondrial reactive oxygen species (ROS), resulting in sustained depletion of ER Ca 2+ stores, protein synthesis inhibition, and cell death. c-Myc, a commonly activated oncogene, also promotes apoptosis in response to growth factor withdrawal and a variety of chemotherapeutic agents. We have investigated the role of c-myc in regulating sensitivity to econazole. Here, we show that c-myc-negative cells are profoundly resistant to econazole. c-Myc-negative rat fibroblasts failed to generate mitochondrial ROS in response to econazole and consequently failed to deplete the ER of Ca 2+ . HL60 cells knocked down for c-myc expression also displayed decreased ROS generation and decreased econazole sensitivity. Addition of H 2 O 2 restored sensitivity to econazole in both c-myc-negative rat fibroblasts and cmyc knocked-down HL60 cells, supporting a role for ROS in cell death induction. c-Myc-negative cells and HL60 cells knocked down for c-myc have reduced mitochondrial content compared with c-myc-positive cells. The hypoxia sensor, hypoxia-inducible factor-1A