Ethanol has been shown to mobilize intracellular calcium in isolated rat hepatocytes by activation of phosphoinositide-specific phospholipase C. However, addition of ethanol to 32P-labeled hepatocytes resulted in a rapid increase in the level of [32P]phosphatidylinositol 4-phosphate over a period of 2 min, concomitant with a small decrease in [32P]phosphatidylinositol 4,5-bisphosphate and an increase in [32P]phosphatidic acid levels. These results indicate that polyphosphatidylinositol metabolism was stimulated by ethanol simultaneously with the activation of phospholipase C. Ethanol also caused a transient increase in the influx of extracellular calcium into quin 2-loaded hepatocytes over a similar period of time. The results demonstrate that ethanol, in common with calcium-mobilizing hormones, directly or indirectly stimulated polyphosphoinositide regeneration and allowed for increased movement of calcium across the hepatocyte plasma membrane.