Disturbances of endoplasmic reticulum (ER) Ca2ϩ homeostasis or protein processing can lead to ER stress-induced cell death. Increasing evidence suggests that oxidative stress (OS) plays an important role in a variety of cell death mechanisms. To investigate the role of OS in ER stress, we measured OS in response to three ER stress agents: econazole (Ec), which stimulates ER Ca 2ϩ release and blocks Ca 2ϩ influx; thapsigargin (Tg), a sarco(endo)plasmic reticulum Ca 2ϩ ATPase inhibitor that releases ER Ca 2ϩ and stimulates Ca 2ϩ influx; and tunicamycin (Tu), a glycosylation inhibitor that causes protein accumulation in the ER. Ec, but not Tg or Tu, caused a rapid increase in OS. Reactive oxygen species (ROS) generation was observed within mitochondria immediately after exposure to Ec. Furthermore, Ec hyperpolarized the mitochondrial membrane and inhibited adenine nucleotide transport in cell-free mitochondria, suggesting a mitochondrial target. Antimycin A, an inhibitor of complex III in electron transport, reversed mitochondrial hyperpolarization, OS generation, ER Ca 2ϩ depletion, and cell death by Ec, suggesting complex III dependence for these effects. Antioxidants butylated hydroxytoluene and NAcetyl-L-cysteine prevented ER Ca 2ϩ depletion and cell death by Ec. However, inhibition of Ca 2ϩ influx by Ec was unaffected by either antimycin A or the antioxidants, suggesting that this target is distinct from the mitochondrial target of Ec. Atractyloside, an adenine nucleotide transport inhibitor, generated ROS and stimulated ER Ca 2ϩ release, but it did not block Ca 2ϩ influx, deplete the ER or induce cell death. Taken together, these results demonstrate that combined mitochondrial ROS generation and Ca 2ϩ influx blockade by Ec is required for cell death.