dynamics within pacemaker cells of the gastrointestinal (GI) tract, the interstitial cells of Cajal (ICC) (a glossary of all abbreviations can be found in Table 1). They were established as the GI pacemakers (44) long after their initial discovery in the 19th century (12), and the performance and structure of the ICC network are intimately related to proper GI motility and function. Disruption of the network can result in conditions such as constipation, gastroparesis, or achalasia (33,66). The pacemaking signals themselves in the ICC are membrane depolarizations also known as slow waves (SW) that rhythmically occur at different intrinsic frequencies depending on species and tissue type. They can range in humans from three cycles per minute (cpm) in the stomach to 8 -12 cpm in the intestine (43) (63), and these depolarizations coordinate contractions in surrounding smooth muscle tissue. The physiological location, spatial scales, and the relative paucity of experimental data of the ICC continue to challenge experimentalists and theoretical explorations. It is known, however, that unitary potentials, or spontaneous-transient depolarizations (SD), of the ICC membrane generate the SW in some way, yet the mechanisms responsible for producing SD themselves are not clearly understood. Membrane channels in the ICC such as the nonspecific cation conductance (NSCC) (63) and the Ca 2ϩ -activated chloride channels (the ANO1) (84) are likely involved in SD production, but their roles are unclear.Daniel et al. (20) showed depletions of the endoplasmic reticulum (ER) Ca 2ϩ reservoir reduce the frequency of intestinal smooth muscle contractions (19) and suggested that the pacing of ICC is related to recycling Ca 2ϩ into the ER from sequestered stores in caveolae (20). It is known that Ca 2ϩ transport via the intracellular inositol-trisphosphate (IP 3 ) receptors (IP 3 R) on the ER into the cytosol (73, 78) and mitochondria (MT) uptake of cytosolic Ca 2ϩ (38, 78) is involved in generation of SW activity. Disruption of MT sodium-calcium exchangers (NCX) reduces the frequency of the Ca 2ϩ oscillations (45), albeit modestly and eventually on a time scale of minutes; notably, the MT NCX are also essential to the function of store-operated Ca 2ϩ entry (SOCE) (52). We thus hypothesize that depletions of the ER Ca 2ϩ reservoir and subsequent activation of SOCE are fundamental to pacemaking of the ICC. The eventual depletion of ER Ca 2ϩ stores and activation of ER SOCE mechanisms, such as the stromal interaction molecules (STIM) on the ER membrane sensing intraluminal ER Ca 2ϩ and their plasma membrane (PM) complements, either the Orai or transient receptor potential channels (TRPC) (11), are essential to intracellular ICC Ca 2ϩ oscillations. These Ca 2ϩ oscillations would then, in turn, determine the electrical SW activity observed by interaction with Ca 2ϩ -sensitive ion channels. Depletions of the ER Ca 2ϩ reservoir by virtue of the ER-MT Ca 2ϩ transport dynamic in a biophysically based model are of comparable timescales to those ob...