-During pregnancy, lymphocytes infiltrating the rabbit lacrimal gland disperse to the interacinar space from their normal focal concentrations, basal fluid secretion decreases, pilocarpine-induced fluid secretion increases, and stimulated fluid protein concentration decreases. Ductal epithelial cell prolactin (PRL) content increases and redistributes from the apical to the basal-lateral cytoplasm. A replication-incompetent adenovirus vector for rabbit PRL (AdPRL) was used to test the hypothesis that increased intracrine/autocrine PRL signaling alters secretory protein traffic in an ex vivo lacrimal acinar cell model. AdPRL had no discernable influence on microtubules or actin microfilaments or their responses to carbachol (CCh). Endogenous and transduced PRLs exhibited similar, nonpolarized, punctate distributions. Cells secreted PRL consititutively and at increased rates in response to CCh. In contrast, constitutive secretion of -hexosaminidase was negligible, suggesting that the constitutive pathway for PRL is relatively inaccessible to typical secretory proteins. AdPRL had no significant effect on total secretion of -hexosaminidase or syncollingreen fluorescent protein (GFP), a chimeric secretory protein construct. However, it reversed the polarized distributions of vesicles containing rab3D and syncollin-GFP. Live-cell imaging indicated that AdPRL redirected CCh-dependent syncollin-GFP exocytosis from the apical plasma membrane to the basal-lateral membrane. Elevated concentrations of exogenous rabbit PRL in the ambient medium elicited similar changes. These observations suggest that elevated PRL, as occurs in the physiological hyperprolactinemia of pregnancy, induces lacrimal epithelial cells to express a mixed exocrine/endocrine phenotype that secretes fluid to the acinus-duct lumen but secretes proteins to the underlying tissue space. This phenotype may contribute to the pregnancy-associated immunoarchitecture. ocular surface; mucosal immunity; pregnancy; Sjögren's syndrome THE OCULAR SURFACE SYSTEM maintains a thin fluid film that comprises an external milieu necessary for optimal homeostasis of its mucosal tissues and of the cornea. Disruptions of ocular surface homeostasis frequently elicit sensations of dryness, itching, or burning. These symptoms may be associated with immune system diseases, such as Sjögren's syndrome and graft vs. host disease, but most cases occur without the typical signs of autoimmune disease. They occur more frequently in women than men and are often associated with altered states of the systemic hormonal milieu: perimenopause, postmenopause, pregnancy, lactation, oral contraceptive use (39), and estrogen or estrogen-progesterone replacement therapy (35,36). Among men, the frequency increases with age (8).Aging in men is accompanied by gradual decreases in gonadal and adrenal production of androgens. The physiological states associated with altered ocular surface system homeostasis in women share one well-known common denominator, a decrease in the amount of testosterone that...