The role of parathyroid hormone (PTH) and calcium on pancreatic exocri
ne secretion were observed using sham-operated and parathyroidectomize
d dogs. First, exocrine secretion of the pancreas stimulated with secr
etin and cholecystokinin octapeptide (CCK-8) was examined in vivo 3 we
eks after parathyroidectomy. Secondly, perfusion experiments of isolat
ed pancreas in the sham-operated and parathyroidectomized dogs were ex
amined. In one experiment, volume of pancreatic juice and bicarbonate
output, but not amylase output, was decreased in the parathyroidectomi
zed dogs compared with those in the sham-operated dogs; no participati
on of calcium in exocrine secretion was revealed. In another experimen
t, high doses of PTH evoked increases of pancreatic juice and bicarbon
ate output without changing amylase output; as before, no participatio
n of calcium in the exocrine secretion was observed. We conclude that
(a) PTH increases volume of pancreatic juice and bicarbonate output, a
nd (b) pancreatic exocrine secretion is modified by direct effect of P
TH, and the pancreatic ductular cells, not the acinar cells, are the t
arget for PTH.