The effects of intracellular Cl− concentration ([Cl−]i) on acetylcholine (ACh)-stimulated exocytosis were studied in guinea pig antral mucous cells by video microscopy. ACh activated Ca2+-regulated exocytosis (an initial phase followed by a sustained phase). Bumetanide (20 μM) or a Cl− -free (NO3−) solution enhanced it; in contrast, 5-nitro-2-(3-phenylpropylamino)benzoic acid (NPPB, a Cl− channel blocker) decreased it and eliminated the enhancement induced by bumetanide or NO3− solution. ACh and Ca2+ dose-response studies demonstrated that NO3− solution does not shift their dose-response curves, and ATP depletion studies by dinitrophenol or anoxia demonstrated that exposure of NO3− solution prior to ATP depletion induced an enhanced initial phase followed by a sustained phase, whereas exposure of NO3− solution after ATP depletion induced only a sustained phase. Intracellular Ca2+ concentration ([Ca2+]i) measurements showed that bumetanide and NO3− solution enhanced the ACh-stimulated [Ca2+]i increase. Measurements of [Cl−]i revealed that ACh decreases [Cl−]i and that bumetanide and NO3− solution decreased [Cl−]i and enhanced the ACh-evoked [Cl−]i decrease; in contrast, NPPB increased [Cl−]i and inhibited the [Cl−]i decrease induced by ACh, bumetanide, or NO3− solution. These suggest that [Cl−]i modulates [Ca2+]i increase and ATP-dependent priming. In conclusion, a decrease in [Cl−]i accelerates ATP-dependent priming and [Ca2+]i increase, which enhance Ca2+-regulated exocytosis in ACh-stimulated antral mucous cells.