Control of Ca2+ spikes by IP3 production in pancreatic acinar cells. Increases in [IP3]i can trigger spread of Ca2+ spikes (Ca2+ waves) by sequential activation of IP3 receptors, if there is a spatial gradient of IP3 sensitivity across the cell and if the rate of IP3 production is slower than that of the CICR-mediated Ca2+ spikes. For simplicity, if we assume that the CICR mechanism occurred instantaneously, the distribution of [Ca2+]i is expressed as a function of the IP3 sensitivity at a specific place, K
IP3(x), and of [IP3]i at a specific time, [IP3]i (t). [Ca2+]i is determined by a balance between CICR-amplified Ca2+ release and Ca2+ removal mechanisms. When [IP3]i is small, local Ca2+ spikes result; when [IP3]i is large, Ca2+ spikes spread further, and generate global Ca2+ spikes in a dose-dependent manner. More rapid increases in [IP3]i result in a faster spread of Ca2+ spikes. Thus, kinetics of IP3 production play a key role in the amplitude, extent, and time course of Ca2+ spikes. The same mechanism is operative in the generation of Ca2+ spikes in those cells with heterogenous IP3 receptors, even though there is no spatial gradient in IP3 receptors.