Depolarization of pancreatic -cells is critical for stimulation of insulin secretion by acetylcholine but remains unexplained. Using voltage-clamped -cells, we identified a small inward current produced by acetylcholine, which was suppressed by atropine or external Na ؉ omission, but was not mimicked by nicotine, and was insensitive to nicotinic antagonists, tetrodotoxin, 4,4-diisothiocyanostilbene-2,2-disulfonic acid (DiDS), thapsigargin pretreatment, and external Ca 2؉ and K ؉ removal. This suggests that muscarinic receptor stimulation activates voltage-insensitive Na ؉ channels distinct from store-operated channels. No outward Na ؉ current was produced by acetylcholine when the electrochemical Na ؉ gradient was reversed, indicating that the channels are inward rectifiers. No outward K ؉ current occurred either, and the reversal potential of the current activated by acetylcholine in the presence of Na ؉ and K ؉ was close to that expected for a Na ؉ -selective membrane, suggesting that the channels opened by acetylcholine are specific for Na ؉ . Overnight pretreatment with pertussis toxin or the addition of guanosine 5-O-(3-thiotriphosphate) (GTP-␥-S) or guanosine-5-O-(2-thiodiphosphate) (GDP--S) instead of GTP to the pipette solution did not alter this current, excluding involvement of G proteins. Injection of a current of a similar amplitude to that induced by acetylcholine elicited electrical activity in -cells perifused with a subthreshold glucose concentration. These results demonstrate that muscarinic receptor activation in pancreatic -cells triggers, by a G protein-independent mechanism, a selective Na ؉ current that explains the plasma membrane depolarization.