To regulate the quantity of respiratory tract fluid, the airway epithelium either secretes chloride, Cl-, or reabsorbs sodium, Na'. Many secretagogues inhibit Na' absorption, but the decrease may result from a fall in the electrochemical gradient for Na' absorption. We examined regulation of Na' absorption independent of CL-secretion, by bathing canine tracheal epithelium in Cl--free, gluconate Ringers solution. Prostaglandin E2, 2-chloroadenosine, and isoproterenol increased short-circuit current (Isc) and the rate of Na' absorption. In contrast, indomethacin, which inhibits endogenous prostaglandin production, decreased Isc. These agents regulate cellular levels ofcAMPY, direct addition of 8-Br-cAMP also acutely increased Isc. We examined chronic regulation of Na' absorption in cell monolayers grown on permeable supports in serum-free media. Exposure to aldosterone for two days increased baseline Isc by 50% and the amilorideinhibitable current by 55%. These data indicate that Na' absorption is both acutely and chronically regulated in the airway epithelium.