Many agents, such as the endoplasmic reticulum Ca 2+ ATPase inhibitor, thapsigargin, or the ionophore, ionomycin, induce apoptosis by transiently elevating [Ca 2+ ] i . The role of [Ca 2+ ] i in apoptosis induced by agents that do not immediately increase [Ca 2+ ] i , such as 5-FdUr, TGFb-1, doxorubicin, or radiation, is far more controversial. In the present paper, [Ca 2+ ] i was measured continuously for 120 h. in prostate and bladder cancer cell lines exposed to these four agents: 5-FdUR, TGFb-1, doxorubicin, or radiation. Each of them consistently induced a delayed [Ca 2+ ] i rise associated with the morphological changes that characterize the execution phase of apoptosis (i.e. rounding, blebbing). This [Ca 2+ ] i rise occurred in two consecutive steps (410 mM and 410 mM) and resulted from a Ca 2+ influx from the extracellular medium. This delayed supramicromolar [Ca 2+ ] i rise was also observed previously in breast, prostate and bladder cancer cell lines exposed to thapsigargin. This influx regulated transcriptional reprogramming of Gadd153 and is required to activate cytochrome c release, caspase-3 activation, loss of clonal survival and DNA fragmentation. When cells were maintained in low extracellular Ca 2+ media, these phenomena were temporarily delayed but occurred on return to normal Ca 2+ medium. Similarly, apoptosis could be delayed by overexpressing the Ca 2+ -binding proteins, Calbindin-D 28K and parvalbumin. As this delayed 510 mM [Ca 2+ ] i elevation was observed in a number of cell lines exposed to a variety of different agents, we conclude that such elevation constitutes a key and general event of apoptosis in these malignant cells.