Abstract-Subtle elevations in cAMP localized to the plasma membrane intensely strengthen endothelial barrier function.Paradoxically, pathogenic bacteria insert adenylyl cyclases (ACs) into eukaryotic cells generating a time-dependent cytosolic cAMP-increase that disrupts rather than strengthens the endothelial barrier. These findings bring into question whether membrane versus cytosolic AC activity dominates in control of cell adhesion. To address this problem, a mammalian forskolin-sensitive soluble AC (sACI/II) was expressed in pulmonary microvascular endothelial cells. Forskolin stimulated this sACI/II construct generating a small cytosolic cAMP-pool that was not regulated by phosphodiesterases or G ␣s . Whereas forskolin simultaneously activated the sACI/II construct and endogenous transmembrane ACs, the modest sACI/II activity overwhelmed the barrier protective effects of plasma membrane activity to induce endothelial gap formation. Retargeting sACI/II to the plasma membrane retained AC activity but protected the endothelial cell barrier. These findings demonstrate for the first time that the intracellular location of cAMP synthesis critically determines its physiological outcome. T he discovery of an adenine ribonucleotide (cAMP) as an intracellular signaling messenger, and the recognition of its highly hydrophilic nature, led to the initial idea that this molecule rapidly and equivalently accesses all cellular compartments. However, as studies advanced, it became unclear how different external stimuli, which similarly elevate cAMP, selectively control different physiological processes. 1,2 These and related studies have given rise to the evolving hypothesis that cAMP signaling occurs within spatially and temporally confined microdomains. [2][3][4][5] Whole cell cAMP concentration is established by the activities of ACs that synthesize cAMP and phosphodiesterases that hydrolyze it. AC1 to -9 are all transmembrane proteins, 6,7 and therefore cAMP synthesis emanates from the plasma membrane. Phosphodiesterases are distributed discretely throughout the cell where they inactivate cAMP before it escapes into physiologically inappropriate domains. Indeed, the coordinated activities of ACs and phosphodiesterases are responsible for generating cAMP gradients within a single cell, where high concentrations arise at the plasma membrane and lower concentrations exist in the bulk cytosol. 8 -12 Yet it is unclear how cAMP is targeted to its physiologically appropriate effectors. Hall and colleagues have proposed that molecules of the signaling cascade may be orientated within a molecular complex such that cAMP is steered directly to its relevant effectors. 13 Thus, the prevailing theory is that signaling fidelity is derived from spatial and temporal cAMP transitions generated within functional subcellular compartments where downstream targets are similarly located. 2,3,14 -16 These paradigms presume that cAMP synthesis occurs exclusively at the plasma membrane. However, recent evidence suggests human soluble AC (hsA...