Long-range signalingBiological organs display coordinated activities that can extend over large distances. The spatial extent of signaling required for such long-distance coordination is many orders of magnitude greater than the size of the participating cells; for example, coordinated contractions of the intestine can occur over 250 cm lengths [1], whereas smooth muscle cells are small (typical size range 50-200 lm [2]). The problem is further exacerbated when one considers that millions of cells, each with its own intrinsic rhythm, participate in this 'mob action', and yet a meaningful global outcome emerges. It is fascinating that in systems such as the gut, even isolated muscle tissue preparations continue to show coordinated rhythmic contractions in the absence of any external neural control [3]; thus, in such systems, the synchronizing mechanism is embedded within the rhythmically oscillating cells themselves. In this article, we review a long-range signaling mechanism in smooth muscle that explains global outcomes of local interactions [4][5][6][7][8][9][10]. The main feature of this signaling mechanism is coupled oscillator-based synchronization of Ca 2+ oscillations across cells, which drives membrane potential changes and causes coordinated contractions. The key elements of this mechanism are a Ca 2+ release-refill cycle of endoplasmic reticulum ⁄ Entrained oscillations in Ca 2+ underlie many biological pacemaking phenomena. In this article, we review a long-range signaling mechanism in smooth muscle that results in global outcomes of local interactions. Our results are derived from studies of the following: (a) slow-wave depolarizations that underlie rhythmic contractions of gastric smooth muscle; and (b) membrane depolarizations that drive rhythmic contractions of lymphatic smooth muscle. The main feature of this signaling mechanism is a coupled oscillator-based synchronization of Ca 2+ oscillations across cells that drives membrane potential changes and causes coordinated contractions. The key elements of this mechanism are as follows: (a) the Ca 2+ releaserefill cycle of endoplasmic reticulum Ca 2+ stores; (b) Ca 2+ -dependent modulation of membrane currents; (c) voltage-dependent modulation of Ca 2+ store release; and (d) cell-cell coupling through gap junctions or other mechanisms. In this mechanism, Ca 2+ stores alter the frequency of adjacent stores through voltage-dependent modulation of store release. This electrochemical coupling is many orders of magnitude stronger than the coupling through diffusion of Ca 2+ or inositol 1,4,5-trisphosphate, and thus provides an effective means of long-range signaling.