Mucin secretion in the airways of the lungs is crucial for clearance of inhaled particulates and pathogens (1). However, mucin hypersecretion is a leading cause of mortality in common diseases such as asthma and cystic fibrosis (2). Thus, tight control of mucin secretion is critical for lung homeostasis. Airway mucin secretion is stimulated by triphosphate nucleotides secreted into the extracellular lumenal liquid layer (3). These bind to epithelial apical P2Y 2 receptors that activate G q , which in turn activates phospholipase C 1 generating the intracellular second messengers diacylglycerol and inositol trisphosphate (IP 3 ).3 Diacylglycerol directly induces mucin granule exocytosis by activating the priming protein Munc13-2 (4), and indirectly regulates exocytosis by activating protein kinase C⑀ (5). IP 3 induces the release of Ca 2ϩ from intracellular stores, resulting in a rise in cytoplasmic Ca 2ϩ that rapidly triggers mucin granule exocytosis (6 -9). However, the precise mechanism by which a rise in cytoplasmic Ca 2ϩ is coupled to exocytosis in goblet cells is not known.Synaptotagmins (Syts) are a family of structurally related proteins of which several are known to mediate Ca 2ϩ -dependent exocytosis. Syts are composed of a short intravesicular amino terminus, a transmembrane domain, a variable linker region, and two conserved C 2 domains near the carboxyl terminus (10, 11). There are at least 15 Syt family members encoded in mammalian genomes. Of these, eight (Syt1-3, -5-7, -9, and -10) display Ca 2ϩ -dependent phospholipid binding that is thought to be essential for Ca 2ϩ -dependent exocytosis (12-16). A subset of three of these (Syt1, -2, and -9) binds Ca 2ϩ with low affinity (ϳ10 M) and high cooperativity (n ϭ 5) and functions as fast, synchronous Ca 2ϩ sensors in neurons (16). Syt1 mediates synchronous synaptic vesicle release in forebrain neurons, and also mediates rapid exocytosis in adrenal chromaffin cells (15,16). Like neurons, chromaffin cells express voltage-gated Ca 2ϩ channels activated by neurotransmitter-induced depolarization. Syt2 mediates synchronous synaptic vesicle release in hindbrain neurons and at the neuromuscular junction (14, 17), but it has not been previously known to function outside the nervous system. Syt9 mediates synchronous synaptic vesicle release from limbic and striatal neurons (16), and it also functions in dense core granule release from the PC12 chromaffin cell line (18 -20) and insulin release from pancreatic islet cells (21,22). In islet cells, membrane depolarization and opening of voltage-gated Ca 2ϩ channels is induced by closure of K ATP channels when blood glucose is elevated. To our knowledge, there has been no analysis of the function of a low Ca 2ϩ affinity, fast Syt in a nonexcitable cell (i.e. a cell not expressing voltagegated Ca 2ϩ channels). * This work was supported, in whole or in part, by National Institutes of Health Grants HL072984, HL094848, CA105352, CA016672, and HL063756. This work was also supported by grants from the North American Cyst...