Biliary disease is a major cause of acute pancreatitis. In this study we investigated the electrophysiological effects of bile acids on pancreatic acinar cells. In perforated patch clamp experiments we found that taurolithocholic acid 3-sulfate depolarized pancreatic acinar cells. At low bile acid concentrations this occurred without rise in the cytosolic calcium concentration. Measurements of the intracellular Na ؉ concentration with the fluorescent probe Sodium Green revealed a substantial increase upon application of the bile acid. We found that bile acids induce Ca 2؉ -dependent and Ca 2؉ -independent components of the Na ؉ concentration increase. The Ca 2؉ -independent component was resolved in conditions when the cytosolic Ca 2؉ level was buffered with a high concentration of the calcium chelator 1,2-bis(oaminophenoxy)ethane-N,N,N,N-tetraacetic acid (BAPTA). The Ca 2؉ -dependent component of intracellular Na ؉ increase was clearly seen during stimulation with the calcium-releasing agonist acetylcholine. During acetylcholine-induced Ca 2؉ oscillations the recovery of cytosolic Na ؉ was much slower than the recovery of Ca 2؉ , creating a possibility for the summation of Na ؉ transients. The bile-induced Ca 2؉ -independent current was found to be carried primarily by Na ؉ and K ؉ , with only small Ca 2؉ and Cl ؊ contributions. Measurable activation of such a cationic current could be produced by a very low concentration of taurolithocholic acid 3-sulfate (10 M). This bile acid induced a cationic current even when applied in sodium-and bicarbonate-free solution. Other bile acids, taurochenodeoxycholic acid, taurocholic acid, and bile itself also induced cationic currents. Bile-induced depolarization of acinar cells should have a profound effect on acinar fluid secretion and, consequently, on transport of secreted zymogens.