Aerobic organisms generate reactive oxygen species as metabolic side products and must achieve a delicate balance between using them for signaling cellular functions and protecting against collateral damage. Small molecule (e.g. glutathione and cysteine)-and protein (e.g. thioredoxin)-based buffers regulate the ambient redox potentials in the various intracellular compartments, influence the status of redox-sensitive macromolecules, and protect against oxidative stress. Less well appreciated is the fact that the redox potential of the extracellular compartment is also carefully regulated and is dynamic. Changes in intracellular metabolism alter the redox poise in the extracellular compartment, and these are correlated with cellular processes such as proliferation, differentiation, and death. In this minireview, the mechanism of extracellular redox remodeling due to intracellular sulfur metabolism is discussed in the context of various cell-cell communication paradigms.Life on oxygen necessitated the evolution of antioxidant systems to protect against overoxidation and to combat reactive oxygen species (ROS) 2 generated as side products from a leaky electron transfer chain. ROS are also produced in a multitude of other oxygen-metabolizing reactions and, at low levels, serve in biological signaling pathways (1, 2). At elevated levels, ROS are correlated with a plethora of complex diseases, including cardiovascular and neurodegenerative diseases and cancers (3). In addition to their widely recognized role in countering oxidative threats, antioxidant systems are vitally important for poising the intra-and extracellular redox milieus, both of which are maintained far from equilibrium. Small molecule-and proteinbased redox buffer systems, including GSH/GSSG, cysteine/ cystine, and oxidized/reduced thioredoxin, are used for thiolbased redox homeostasis essential for controlling cellular functions, e.g. gene expression, cell cycle progression, and apoptosis (4). In proteins, methionine and cysteine are the two common amino acids that can be reversibly oxidized, and their redox status can influence protein conformation and/or stability, enzymatic activity, and interactions with other protein and/or DNA partners. Oxidation of methionine leads to methionine sulfoxide, which can be reversed enzymatically, or to methionine sulfone, an overoxidized species that cannot be rescued (5). Oxidation of cysteine can lead to formation of sulfenic, sulfinic, or sulfonic acid, the latter of which represents an irreversible modification. In addition to small molecule repair systems, antioxidant enzymes are utilized for maintaining the integrity of functionally critical redox-active amino acids and include sulfiredoxin (6), methionine sulfoxide reductase (5), and thioredoxin (7), whereas enzymes such as superoxide dismutase, glutathione peroxidase, and catalase keep ROS levels at bay.The cellular redox status governs the equilibrium between oxidized versus reduced states of cysteines and methionines. The more oxidizing environment of the...