IntroductionThe extracellular Ca 2+ -sensing receptor (CaR) is a cell surface receptor for divalent cations whose existence was originally suspected in the parathyroid gland (Brown et al., 1987;Nemeth and Scarpa, 1987;Shoback et al., 1988). Cloning of the receptor by Brown and colleagues (Brown et al., 1993) confirmed the essential role of CaR as a Ca 2+ sensor in the parathyroid, and also set the stage for the identification of the receptor in a wide variety of tissues not involved in systemic Ca 2+ homeostasis . This seventransmembrane-spanning receptor couples, via heterotrimeric G-proteins, to several different signaling cascades, including the phospholipase C (PLC)/phosphoinositide/Ca 2+ pathway (Brown and MacLeod, 2001). The binding of Ca 2+ to the human parathyroid receptor is known to be a highly cooperative process, making CaR a good Ca 2+ 'increment detector'. Although half-maximal activation of the receptor occurs around 3.5 mM, with maximal stimulation at 5.5 mM (Conigrave et al., 2000a;Quinn et al., 1997), CaR is able to sense small [Ca 2+ ] changes (±0.2 mM) in the physiological range (around 1.8 mM Ca 2+ ).It is important to note that CaR is also stimulated by Mg 2+ and certain polycations [including some endogenous polyamines such as spermine and spermidine (Quinn et al., 1997)]. Synthetic small molecule agonists of the receptor, such as the allosteric modulator NPS R-467 (Nemeth et al., 1998), have also been prepared. Brown and colleagues recently showed that the CaR is activated by physiological concentrations of amino acids [particularly aromatic and small aliphatic L-amino acids (Conigrave et al., 2000b)], and that it is modulated by ionic strength . It is therefore likely that multiple agonists act in concert to stimulate the receptor physiologically.We noted previously that stimulation of CaR with maximal doses of CaR agonists was frequently manifested by an oscillatory Ca 2+ signal in HEK293 cells transfected with the human extracellular Ca 2+ -sensing receptor (HEK CaR cells) (Hofer et al., 2000). The same observation was made in CaRtransfected HEK cells by Breitwieser and Gama (Breitwieser and Gama, 2001), who also reported that Ca 2+ spiking was acutely sensitive to small incremental increases in extracellular [Ca 2+ ]. Such oscillations were sustained for up to 40 minutes, until they gradually diminished in amplitude. Young and Rozengurt recently extended these findings, showing that aromatic amino acids can sensitize the receptor to small incremental increases in external [Ca 2+ ] in HEK CaR cells, producing distinctive patterns of oscillations (Young and Rozengurt, 2002). Native tissues that express CaR endogenously, including parathyroid cells (Miki et al., 1995)