We examined, by using a specific PGE receptor subtype EP4 agonist and antagonist, the involvement of EP4 receptors in duodenal HCO 3 Ϫ secretion induced by PGE2 and mucosal acidification in rats. Mucosal acidification was achieved by exposing a duodenal loop to 10 mM HCl for 10 min, and various EP agonists were given intravenously 10 min before the acidification. Secretion of HCO 3 Ϫ was dose-dependently stimulated by AE1-329 (EP4 agonist), the maximal response being equivalent to that induced by sulprostone (EP1/EP3 agonist) or PGE2. The stimulatory action of AE1-329 and PGE2 but not sulprostone was attenuated by AE3-208, a specific EP4 antagonist. This antagonist also significantly mitigated the acidinduced HCO 3 Ϫ secretion. Coadministration of sulprostone and AE1-329 caused a greater secretory response than either agent alone. IBMX potentiated the stimulatory action of both sulprostone and AE1-329, whereas verapamil mitigated the effect of sulprostone but not AE1-329. Chemical ablation of capsaicin-sensitive afferent neurons did not affect the response to any of the EP agonists used. We conclude that EP4 receptors are involved in the duodenal HCO 3 Ϫ response induced by PGE2 or acidification in addition to EP3 receptors. The process by which HCO 3 Ϫ is secreted through these receptors differs regarding secondmessenger coupling. Stimulation through EP4 receptors is mediated by cAMP, whereas that through EP3 receptors is regulated by both cAMP and Ca 2ϩ ; yet there is cooperation between the actions mediated by these two receptors. The neuronal reflex pathway is not involved in stimulatory actions of these prostanoids. prostaglandin E2; EP receptor subtype; EP4 receptor SECRETION OF HCO 3 Ϫ FROM surface epithelial cells is one of the mucosal defensive mechanisms and plays an important role in protecting the duodenal mucosa against acid injury (6,4,18). Although the physiological regulation of this secretion involves several factors such as PGs, peptides, and neuronal factors (4,10,19,20), endogenous PGs are particularly important in the local control of the process. We (23) previously investigated the relationship between PGE receptor (EP) subtypes and HCO 3 Ϫ secretion, using specific EP1, EP2, and EP3 agonists, and found that the secretion was stimulated by EP agonists having a potent affinity for EP3 receptors. Using EP3 receptor knockout mice, we (21) also demonstrated the involvement of EP3 receptors in the acid-induced secretion of HCO 3 Ϫ in the duodenum. At that time, however, the possibility remained that the stimulatory action of PGE 2 is mediated by EP4 receptors, because specific EP4 agonists and antagonists were not available. It is now known that the increase in duodenal HCO 3 Ϫ secretion is mediated by the stimulation of adenylate cyclase (AC) activity and an elevation in intracellular cAMP levels (8,16,20) and that the activation of EP4 receptors results in an increase of intracellular cAMP via G s protein (3). Thus it is possible that EP4 receptors play a role in the regulation of duodenal HCO...