The balance between the concentrations of free ionized Ca 2؉ and bicarbonate in pancreatic juice is of critical importance in preventing the formation of calcium carbonate stones. How the pancreas regulates the ionic composition and the level of Ca 2؉ saturation in an alkaline environment such as the pancreatic juice is not known. Because of the tight cause-effect relationship between Ca 2؉ concentration and lithogenicity, and because hypercalcemia is proposed as an etiologic factor for several pancreatic diseases, we have investigated whether pancreatic tissues express a Ca 2؉ -sensing receptor (CaR) similar to that recently identified in parathyroid tissue. Using reverse transcriptase-polymerase chain reaction and immunofluorescence microscopy, we demonstrate the presence of a CaR-like molecule in rat pancreatic acinar cells, pancreatic ducts, and islets of Langerhans. Functional studies, in which intracellular free Ca 2؉ concentration was measured in isolated acinar cells and interlobular ducts, show that both cell types are responsive to the CaR agonist gadolinium (Gd 3؉ ) and to changes in extracellular Ca 2؉ concentration. We also assessed the effects of CaR stimulation on physiological HCO 3 ؊ secretion from ducts by making measurements of intracellular pH. Luminal Gd 3؉ is a potent stimulus for HCO 3 ؊ secretion, being equally as effective as raising intracellular cAMP with forskolin. These results suggest that the CaR in the exocrine pancreas monitors the Ca 2؉ concentration in the pancreatic juice, and might therefore be involved in regulating the level of Ca 2؉ in the lumen, both under basal conditions and during hormonal stimulation. The failure of this mechanism might lead to pancreatic stone formation and even to pancreatitis.