It has long been held that the parathyroid glands and parathyroid hormone evolved with the emergence of the tetrapods, reflecting a need for new controls on calcium homeostasis in terrestrial, rather than aquatic, environments. Developmentally, the parathyroid gland is derived from the pharyngeal pouch endoderm, and studies in mice have shown that its formation is under the control of a key regulatory gene, Gcm-2. We have used a phylogenetic analysis of Gcm-2 to probe the evolutionary origins of the parathyroid gland. We show that in chicks, as in mice, Gcm-2 is expressed in the pharyngeal pouches and the forming parathyroid gland. We find that Gcm-2 is present not only in tetrapods but also in teleosts and chondrichthyans, and that in these species, Gcm-2 is expressed within the pharyngeal pouches and internal gill buds that derive from them in zebrafish (Danio rerio), a teleost, and dogfish (Scyliorhinus canicula), a chondrichthyan. We further demonstrate that Gcm-2 is required for the formation of the internal gill buds in zebrafish. We also have identified parathyroid hormone 1͞2-encoding genes in fish and show that these genes are expressed by the gills. We further show that the gills express the calcium-sensing receptor, which is used in tetrapods to monitor serum calcium levels. These results indicate that the tetrapod parathyroid gland and the gills of fish are evolutionarily related structures, and that the parathyroid likely came into being as a result of the transformation of the gills during tetrapod evolution.pharyngeal endoderm ͉ vertebrate evolution ͉ Gcm-2 ͉ gills I n tetrapods, the parathyroid glands play a pivotal role in regulating extracellular calcium homeostasis, which is important to many physiological processes such as muscle contraction, blood coagulation, and synaptic activity. These glands detect changes in the levels of calcium in blood by means of the calcium-sensing receptor (CasR), which in turn modulates the secretion of parathyroid hormone (PTH), which acts to release calcium from internal stores such as bone and modulates renal ion transport (1). Developmentally, the parathyroid glands arise from the endodermal pharyngeal pouches; in humans and chickens, from the third and fourth pouches, and in mice, from the third pouch only. Importantly, studies in mice have demonstrated that the transcription factor encoded by Gcm-2 is a key regulator of parathyroid gland development. The expression of this gene is restricted to the parathyroid glands, and if this gene is mutated, the parathyroid glands fail to form (2-4).Fish, however, have been believed to lack parathyroid glands and PTH, and unlike tetrapods, the majority of calcium uptake in fish is from external sources. These differences are believed to reflect the fact that with the evolution of the tetrapods and the shift from an aquatic to a terrestrial environment, new controls for regulating calcium homeostasis had to be put in place, and thus the evolution of the parathyroid glands and PTH was a key event in facilitating this tra...