Interstitial cells of Cajal (ICCs) freshly isolated from rabbit portal vein and loaded with the Ca 2+-sensitive indicator fluo-3 revealed rhythmical [Ca 2+] i changes occurring at 0.02–0.1 Hz. Each increase in [Ca 2+] i originated from a discrete central region of the ICC and propagated as a [Ca 2+] i wave towards the cell periphery, but usually became attenuated before reaching the ends of the cell. In about 40% of ICCs each rhythmical change in [Ca 2+] i consisted of an initial [Ca 2+] i increase (phase 1) followed by a faster rise in [Ca 2+] i (phase 2) and then a decrease in [Ca 2+] i (phase 3); the frequency correlated with the rate of rise of [Ca 2+] i during phase 1, but not with the peak amplitude. Rhythmical [Ca 2+] i changes persisted in nicardipine, but were abolished in Ca 2+-free solution as well as by SK&F96365, cyclopiazonic acid, thapsigargin, 2-APB, xestospongin C or ryanodine. Intracellular Ca 2+ stores visualised with the low-affinity Ca 2+ indicator fluo-3FF were found to be enriched with ryanodine receptors (RyRs) detected with BODIPY TR-X ryanodine. Rhythmical [Ca 2+] i changes originated from a perinuclear S/ER element showing the highest RyR density. Immunostaining with anti-TRPC3,6,7 antibodies revealed the expression of these channel proteins in the ICC plasmalemma. This suggests that these rhythmical [Ca 2+] i changes, a key element of ICC pacemaking activity, result from S/ER Ca 2+ release which is mediated via RyRs and IP 3 receptors and is modulated by the activity of S/ER-Ca 2+-ATPase and TRP channels but not by L-type Ca 2+ channels.