We have studied the regulation of Ca 2؉ -dependent chloride (Cl Ca ) channels in a human pancreatoma epithelial cell line (CFPAC-1), which does not express functional cAMP-dependent cystic fibrosis transmembrane conductance regulator chloride channels. In cell-free patches from these cells, physiological Ca 2؉ concentrations activated a single class of 1-picosiemens Cl ؊ -selective channels. The same channels were also stimulated by a purified type II calmodulin-dependent protein kinase (CaMKII), and in cell-attached patches by purinergic agonists. In whole-cell recordings, both Ca 2؉ -and CaMKII-dependent mechanisms contributed to chloride channel stimulation by Ca 2؉ , but the CaMKII-dependent pathway was selectively inhibited by inositol 3,4,5,6-tetrakisphosphate (Ins(3,4,5,6)P 4 ). This inhibitory effect of Ins(3,4,5,6)P 4 on Cl Ca channel stimulation by CaMKII was reduced by raising [Ca 2؉ ] and prevented by inhibition of protein phosphatase activity with 100 nM okadaic acid. These data provide a new context for understanding the physiological relevance of Ins(3,4,5,6)P 4 in the longer term regulation of Ca 2؉ -dependent Cl ؊ fluxes in epithelial cells.