In the proximal tubule, axial flow (drag on brush-border microvilli) stimulates Na ϩ and HCO 3 Ϫ reabsorption by modulating both Na/H exchanger 3 (NHE3) and HATPase activity, a process critical to glomerulotubular balance. We have also demonstrated that blocking the angiotensin II receptor decreases baseline transport, but preserves the flow effect; dopamine leaves baseline fluxes intact, but abrogates the flow effect. In the current work, we provide evidence implicating cytosolic calcium in flow-dependent transport. Mouse proximal tubules were microperfused in vitro at perfusion rates of 5 and 20 nl/min, and reabsorption of fluid (Jv) and HCO 3 Ϫ (JHCO3) were measured. We examined the effect of high luminal Ca 2ϩ (5 mM), 0 mM Ca 2ϩ , the Ca 2ϩ chelator BAPTA-AM, the inositol 1,4,5-trisphosphate (IP3) receptor antagonist 2-aminoethoxydiphenyl borate (2-APB), and the Ca-ATPase inhibitor thapsigargin. In control tubules, increasing perfusion rate from 5 to 20 nl/min increased Jv by 62% and JHCO3 by 104%. With respect to Na ϩ reabsorption, high luminal Ca 2ϩ decreased transport at low flow, but preserved the flow-induced increase; low luminal Ca 2ϩ had little impact; both BAPTA and 2-APB had no effect on baseline flux, but abrogated the flow effect; thapsigargin decreased baseline flow, leaving the flow effect intact. With respect to HCO 3 Ϫ reabsorption, high luminal Ca 2ϩ decreased transport at low flow and mildly diminished the flow-induced increase; low luminal Ca 2ϩ had little impact; both BAPTA and 2-APB had no effect on baseline flux, but abrogated the flow effect. These data implicate IP3 receptor-mediated intracellular Ca 2ϩ signaling as a critical step in transduction of microvillous drag to modulate Na ϩ and HCO 3 Ϫ transport.calcium signals; tubule transport; flow-dependent; sodium bicarbonate; IP 3 receptor; extracellular Ca 2ϩ GLOMERULOTUBULAR BALANCE (GTB) was first established in the rat kidney via micropuncture (18), where variation in glomerular filtration (over a range of flows from 15 to 60 nl/min) was accompanied by a constant fractional proximal reabsorption. We have studied the mechanism of axial flow-induced changes in Na ϩ and HCO 3 Ϫ absorption by microperfusion of mouse proximal tubules in vitro under low and high flow rates. From these studies we have demonstrated that the underlying mechanism of GTB is the flow regulation of both Na/H exchanger 3 (NHE3) and H-ATPase activities. This modulation is torque dependent (bending moment at the apical membrane due to fluid flow) and requires the intact actin cytoskeleton (2). In the studies of mouse proximal tubule cells, we have shown that fluid shear stress stimulates NHE3 and H-ATPase trafficking to the apical and Na-K-ATPase to the basolateral membrane surfaces (6); this observation is supported by the mathematical model that shows both apical and basolateral transporters are regulated by flow (25). Regulatory mechanisms of the GTB, including the role of dopamine and ANG II receptors and the role of cAMP-PKA have been examined. From these st...