Exposure of insulin-secreting cells to hypotonic solutions causes cell swelling followed by regulatory volume decrease (RVD). We have previously demonstrated that RVD is due to activation of a Cl(-) conductance. The present study investigates whether changes in cytosolic [Ca(2+)] play a role in these responses. Hypotonic swelling of RINm5F insulinoma cells caused a marked increase in cytosolic [Ca(2+)]. This effect was abolished by omission of extracellular Ca(2+), by the Ca(2+) channel blockers D600 or Gd(3+)and by 4,4'-dithiocyanatostilbene-2,2'-disulphonic acid (DIDS), an inhibitor of the volume-sensitive anion. RVD was markedly impaired in the absence of extracellular Ca(2+), but not by D600 nor by Gd(3+). RVD was also inhibited by the maxi-K(+) (BK(Ca)) channel blockers tetraethylammonium (TEA) and iberiotoxin (IbTx), whereas the K(ATP) channel blocker tolbutamide was ineffective. Cell swelling was accompanied by activation of a K(+) conductance which was sensitive to TEA and IbTx but not to tolbutamide. It is concluded that cell swelling causes activation of the volume-sensitive anion channel, leading to depolarization and Ca(2+) entry via voltage-gated Ca(2+) channels. RVD is a Ca(2+)-dependent process, requiring low 'resting' levels of intracellular [Ca(2+)]. However, the swelling-induced increase in cytosolic [Ca(2+)] is not required for RVD to occur. RVD depends upon simultaneous activation of Cl(-) and K(+) channels. We suggest that the BK(Ca) channel is the major K(+) conductance involved in RVD.