Fluid secretion by the ciliary body plays a critical and irreplaceable function in vertebrate vision by providing nutritive support to the cornea and lens, and by maintaining intraocular pressure. Here, we identify TRPV4 (transient receptor potential vanilloid isoform 4) channels as key osmosensors in nonpigmented epithelial (NPE) TRPV4 | ciliary body | intraocular pressure | aqueous humor | glaucoma F ormation of aqueous humor in the vertebrate eye takes place within the ciliary body (CB), a highly folded tissue consisting of pigmented epithelial (PE) cells, nonpigmented epithelial (NPE) cells, and the ciliary muscle (1, 2). Together, PE cells, which face the vascularized stroma and represent a forward continuation of the retinal pigment epithelium (RPE), and NPE cells, which face the posterior chamber (lumen) of the eye and extend the neuronal retina, form the blood-aqueous barrier and regulate the production and secretion of aqueous humor. The aqueous fluid supplies nutrients and oxygen to nonvascularized tissues (lens, cornea, and trabecular meshwork) and is ultimately drained through the ciliary muscle and the trabecular meshwork in the anterior chamber of the eye. Aqueous secretion is subserved by the unidirectional transport of ions and water through gap junctions between PE cells and NPE cells (3,4) and is driven by the osmotic gradient generated by Na + /K + exchange across basolateral NPE membranes (2-5). Despite the critical dependence of aqueous humor secretion on osmotic pressure (1, 4, 6), the molecular mechanism through which NPE and PE cells sense and regulate changes in volume is not well understood.In addition to osmotic shifts, CB cells experience mechanical forces associated with mean and time-varying aspects of intraocular pressure (IOP), a phenomenon that reflects balanced regulation of fluid secretion from NPE cells and its drainage from the anterior eye. Excessive IOP elevations represent the primary, and major, risk factor for contracting glaucoma (6, 7), an optic neuropathy that represents the second leading cause of blindness in the world. Therefore, aqueous secretion is often targeted by antiglaucoma medications that include ÎČ-adrenergic receptor antagonists, carbonic anhydrase inhibitors, α 2 -adrenergic agonists, and muscarinic cholinergic agonists (7). A key question, however, is whether CB cells themselves are able to sense force mediated by membrane stretch induced by hydrostatic pressure or swelling, and what such mechanisms might be.Here, we identify a key osmosensor in CB as transient receptor potential channel vanilloid isoform 4 (TRPV4), a polymodal nonselective cation-permeable channel that has been implicated in mechanotransduction (8, 9) as well as regulation of paracellular permeability in multiple epithelial tissues (10-15). Intriguingly, we found that TRPV4 is selectively distributed across CB by being confined to the NPE and excluded from PE cells. We characterized the functional role of TRPV4 as the predominant NPE swelling sensor and determined its contribution to...