“…The peak and plateau [Ca 2ϩ ] i responses are thought to be at least in part responsible for the pathological effect of high-dose CCK on exocrine pancreas (35,51,54 (3,4,8,24,37). Besides Ins(1,4,5)P 3 , cADP-ribose, nicotinic acid adenine dinucleotide phosphate (NAADP), and fatty acid ethyl esters are able to release Ca 2ϩ from intracellular stores through effects on Ca 2ϩ -regulated ryanodine receptors (RyRs) and NAADP receptors (8,15,24,51,55). Current evidence (8,24,37,44) suggests that Ins(1,4,5)P 3 and its receptors act to trigger Ca 2ϩ release from the ER, whereas the other signals act to amplify the Ca 2ϩ signals.…”