Chloride channels in intestinal epithalia act together with other ion transporters to midiate absorption or secretion of water and electrolytes. In cystic fibrosis (CF) which is a lethal genetic disease, the intestinal CF secretion is impaired. Normally, CF channels can be activated by an increase in intracellular level of cAMP or Ca^(2+). In contrast, the CF intestinal epithelia do not respond to either cAMP- or Ca^(2+)-mediated secretagogues. The gene responsible for CF has recently been identified and the protein it encodes has been termed CF transmembrane conductance regulator (CFTR). Convincing evidence suggests that CFTR is a chloride channel. Further studies needs to elucidate the mechanisms by which this gene defect alters the electrolyte transport.