Members of the Bcl-2 protein family modulate outer mitochondrial membrane permeability to control apoptosis1 ,2 . However, these proteins also localize to the endoplasmic reticulum (ER), the functional significance of which is controversial 3, 4. Here we provide evidence that anti-apoptotic Bcl-2 proteins regulate the inositol 1,4,5-trisphosphate receptor (InsP 3 R) ER Ca 2+ release channel resulting in increased cellular apoptotic resistance and enhanced mitochondrial bioenergetics. Anti-apoptotic Bcl-X L interacts with the carboxyl terminus of the InsP 3 R and sensitizes single InsP 3 R channels in ER membranes to low [InsP 3 ], enhancing Ca 2+ and InsP 3 -dependent regulation of channel activity in vitro and in vivo, reducing ER Ca 2+ content and stimulating mitochondrial energetics. The proapoptotic proteins Bax and tBid antagonize this effect by blocking the biochemical interaction of Bcl-X L with the InsP 3 R. These data support a novel model in which Bcl-X L is a direct effector of the InsP 3 R, increasing its sensitivity to InsP 3 and enabling ER Ca 2+ release to be more sensitively coupled to extracellular signals. As a consequence, cells are protected against apoptosis by a more sensitive and dynamic coupling of ER to mitochondria through Ca 2+ -dependent signal transduction that enhances cellular bioenergetics and preserves survival.A central feature of molecular models of apoptosis is the control of outer mitochondrial membrane permeability by Bcl-2-related proteins. The pro-apoptotic Bcl-2-related proteins Bax and Bak are required to initiate cytochrome c release from mitochondria in response to diverse apoptotic stimuli 1,5 . Anti-apoptotic properties of Bcl-2 and Bcl-X L have been attributed to their ability to antagonize Bax/Bak by forming heterodimers that prevent their oligomerization and apoptosis initiation 6 . Pro-and anti-apoptotic Bcl-2 proteins also localize to the ER 3,7 , and it is now recognized that the ER has an important role in regulating apoptosis 8,9 . The ER is thought to contribute to apoptosis through its role as the principle Ca 2+ storage organelle in cells [8][9][10][11] . At physiological levels, Ca 2+ released from the ER during