In antral mucous cells, acetylcholine (ACh, 1 M) activates Ca 2ϩ -regulated exocytosis, consisting of an initial peak that declines rapidly (initial transient phase) followed by a second slower decline (late phase) lasting during ACh stimulation. The addition of 8-bromo-cGMP (8-BrcGMP) enhanced the initial phase, which was inhibited by the protein kinase G (PKG) inhibitor guanosine 3=,5=-cyclic monophosphorothoiate, -phenyl-1,N 2 -etheno-8-bromo, Rp-isomer, sodium salt (Rp-8-BrPETcGMPS, 100 nM). However, Rp-8-BrPETcGMPS produced a delayed, but transient, increase in the exocytotic frequency during the late phase that was abolished by a protein kinase A (PKA) inhibitor (PKI-amide), suggesting that Rp-8-BrPETcGMPS accumulates cAMP. The cGMP-dependent phosphodiesterase 2 (PDE2), which degrades cAMP, may exist in antral mucous cells. The PDE2 inhibitor BAY-60-7550 (250 nM) mimicked the effect of Rp-8-BrPETcGMPS on ACh-stimulated exocytosis. Measurement of the cGMP and cAMP contents in antral mucosae revealed that ACh stimulates the accumulation of cGMP and that BAY-60-7550 accumulates cAMP similarly to Rp-8-BrPETcGMPS during ACh stimulation. Analyses of Western blot and immunohistochemistry demonstrated that PDE2A exists in antral mucous cells. In conclusion, Rp-8-BrPETcGMPS accumulates cAMP by inhibiting PDE2 in AChstimulated antral mucous cells, leading to the delayed, but transient, increase in the frequency of Ca 2ϩ -regulated exocytosis. PDE2 may prevent antral mucous cells from excessive mucin secretion caused by the cAMP accumulation.acetylcholine; guanosine 3=,5=-cyclic monophosphate; adenosine 3=,5=-cyclic monophosphate; gastric; mucin secretion GASTRIC MUCINS, WHICH ARE high-molecular-weight glycoproteins that protect the gastric mucosa from acid-peptic injury, are stored in intracellular granules and secreted to the lumen by Ca 2ϩ -regulated exocytosis. Ca 2ϩ -regulated exocytosis in antral mucous cells consists of three biochemically distinct steps: docking, priming, and fusion. The priming step is regulated by ATP, and the fusion step is regulated by Ca 2ϩ (12,20,23). In antral mucous cells, Ca 2ϩ -regulated exocytosis has characteristic features of frequency: an initial peak that declines rapidly (initial phase or initial transient phase) followed by a second slower decline (late phase) lasting during acetylcholine (ACh) stimulation. The initial phase, which is transient and has a high frequency of exocytotic events, is caused by an immediate fusion of the primed granules (the pool of releasable granules), and the late phase, which has a low frequency of exocytotic events, is caused by a fusion of granules that are in the process of priming (10).In antral mucous cells, Ca 2ϩ -regulated exocytosis is activated by ACh and is modulated by many substances, such as cAMP, cGMP, arachidonic acid (AA), and intracellular Cl Ϫ (3, 4, 10, 11, 14 -18). An accumulation of cAMP, which accelerates the priming step and the fusion step, also significantly increases the frequency of the initial phase in Ca 2ϩ -regulat...