Gliotoxin, a member of the epipolythiodioxopiperazine (ETP) class of toxins, induces both apoptotic and necrotic cell death in a concentration-dependent manner. Whereas the specific trigger for apoptotic death caused by these toxins is unclear, the reactive disulfide bond in the ETP toxins is required for biological activity. Thus it is likely that it is the interaction of this disulfide moiety with macromolecules in cells that was responsible for activity of ETP toxins. Here we present evidence that necrosis induced by gliotoxin and a simple synthetic ETP toxin is largely because of an influx of extracellular calcium through a redox-sensitive calcium channel in the plasma membrane of murine thymocytes. The calcium rises are strongly dependent on the pH of the external medium and the presence of external calcium and are abrogated and/or reversed by the presence of dithiothreitol, cell impermeant glutathione, and the calcium channel blocker Ni 2؉ . Comparisons with thapsigargin, which indirectly causes release of calcium from internal stores, indicates that ETP toxins do not provoke calcium rises by store depletion. A mechanism of oxidation by ETP toxins of cell surface thiol groups resulting in direct entry of calcium through a redox active channel in the plasma membrane is proposed. Necrotic but not apoptotic cell death was abrogated by inhibition of calcium entry.Gliotoxin is a member of the epipolythiodioxopiperazine (ETP) 1 of toxic fungal metabolites that display antibacterial, antiviral, and immunosuppressive properties (1). The ETP toxins contribute to pathological damage in fungal infections in animals (2) including humans and their known immunosuppressive activity could contribute to the establishment of disseminated infections by ETP producing fungi (3). The presence of a reactive disulfide bridge accounts for much of the biological activity of these toxins (4, 5). The ETP toxins induce apoptotic cell death in a variety of cells across a window of concentrations typically 0.1-3 M (1, 6 -8). Typical of many toxins, the mode of cell death switches from apoptotic to necrotic at relatively higher concentrations (9). Although the exact cellular targets of the ETP toxins have yet to be defined, they have been shown to inhibit a variety of enzymes including alcohol dehydrogenase (10), creatine kinase (11), the transcription factor NFB (12), farnesyl transferase (13), and RNA polymerase (14). In particular the ETP toxins target proteins with accessible thiol groups and gliotoxin has been shown to induce intramolecular disulfide formation in creatine kinase (11). Apoptosis induced by gliotoxin in thymocytes has been strongly linked to increased cAMP levels and histone H3 phosphorylation (15).Because gliotoxin inhibits NFB in intact cells, gliotoxin has been used as a tool to probe the requirement for this transcription factor. However, gliotoxin and other ETP toxins can potentially target multiple sites in cells resulting in a variety of effects, including altering intracellular calcium levels (9). In this pape...