The rate of mucociliary clearance in the airways is a function of ciliary beat frequency (CBF), and this, in turn, is increased by increases in intracellular calcium. The TRPV4 cation channel mediates Ca 2؉ influx in response to mechanical and osmotic stimuli in ciliated epithelia. With the use of a TRPV4-deficient mouse, we now show that TRPV4 is involved in the airways' response to physiologically relevant physical and chemical stimuli. Ciliary TRPV4 expression in tracheal epithelial cells was confirmed with immunofluorescence in TRPV4 ؉/؉ mice. Ciliated tracheal cells from TRPV4 ؊/؊ mice showed no increases in intracellular Ca 2؉ and CBF in response to the synthetic activator 4␣-phorbol 12,13-didecanoate (4␣PDD) and reduced responses to mild temperature, another TRPV4-activating stimulus. Autoregulation of CBF in response to high viscosity solutions is preserved in TRPV4 ؊/؊ despite a reduced Ca 2؉ signal. More interestingly, TRPV4 contributed to an ATPinduced increase in CBF, providing a pathway for receptor-operated Ca 2؉ entry but not store-operated Ca 2؉ entry as the former mechanism is lost in TRPV4 ؊/؊ cells. Collectively, these results suggest that TRPV4 is predominantly located in the cilia of tracheal epithelial cells and plays a key role in the transduction of physical and chemical stimuli into a Ca 2؉ signal that regulates CBF and mucociliary transport. Moreover, these studies implicate the participation of TRPV4 in receptor-operated Ca 2؉ entry.ATP ͉ trachea ͉ temperature ͉ transient receptor potential channel ͉ store-operated calcium entry I n mammalian airways, ciliated and mucus-secreting epithelial cells form a structural and functional unit that functions as a conveyor belt system for particle transport. In this analogy, cilia provide the power, whereas the mucus serves as the viscoelastic belt (1). A critical factor regulating the velocity of mucociliary transport is the ciliary beat frequency (CBF), a mechanism in which cytosolic Ca 2ϩ plays a major role (1, 2). Increases in cytosolic Ca 2ϩ are associated with increases in CBF (3, 4), although the ultimate molecular mechanism explaining CBF regulation by Ca 2ϩ remains controversial (3). Both mechanical and chemical (paracrine) stimulation of epithelial ciliated cells can lead to an increase in intracellular Ca 2ϩ concentration and the consequent enhancement of CBF (2). ATP-mediated activation of G protein-coupled receptors, typically P2Y receptors, is one of the strongest signals known to increase CBF (2). As with many other agonists of G proteincoupled receptors, ATP promotes both the release of Ca 2ϩ from inositol trisphosphate (IP 3 )-sensitive intracellular stores and Ca 2ϩ entry across the plasma membrane (4), and the latter process is more evident at micromolar concentrations of ATP where a sustained Ca 2ϩ influx occurs. The stimulation of Ca 2ϩ influx involves signaling from the depleted stores to plasma membrane Ca 2ϩ channels (store-operated calcium entry, SOCE; also known as capacitative Ca 2ϩ entry) and/or through a phospholipase...