Parathyroid hormone (PTH) is secreted by the chief cells of the parathyroid gland in response to changes in ionized calcium (Ca 2+ ) concentrations. In this study, we measured PTH secretion, and PTH mRNA and calcium-sensing receptor (CaR) mRNA expression by equine parathyroid chief cells in vitro. We also evaluated the effects of interleukin (IL)-1 , IL-6, and tumor necrosis factor (TNF)-on PTH secretion, and PTH and CaR mRNA expression. The relationship between PTH and Ca 2+ was inversely related. PTH secretion decreased from 100% (day 0) to 13% (day 30). PTH mRNA expression declined from 100% (day 0) to 25% (day 30). CaR mRNA decreased from 100% (day 0) to 16% (day 30). Chief cells exposed to high (2·0 mM) Ca 2+ concentrations had a lower PTH mRNA expression compared with low Ca 2+ concentrations. Ca 2+ concentrations had no effect on CaR mRNA expression. The inhibitory effect of high Ca 2+ concentrations on PTH secretion also declined over time. After day 10, there was no significant difference in PTH secretion between low and high Ca 2+ concentrations. IL-1 decreased both PTH secretion (75%) and PTH mRNA expression (73%), and resulted in a significant overexpression of CaR mRNA (up to 142%). The effects of IL-1 were blocked by an IL-1 receptor antagonist. IL-1 decreased the Ca 2+ set-point from 1·4 mM to 1·2 mM. IL-6 decreased PTH secretion (74%), but had no effect on PTH and CaR mRNA expression. TNF-had no effect on PTH secretion, and PTH and CaR mRNA expression. In summary, the decreased responsiveness of parathyroid cells to Ca 2+ from 0 to 30 days can be explained, in part, by the reduced CaR expression. IL-1 and IL-6 but not TNF-affected parathyroid function in vitro and may be important in influencing PTH secretion in the septic horse.