Pulmonary surfactant is secreted via exocytosis of lamellar bodies (LBs) by
alveolar type II cells. Here we analyzed the dependence of LB exocytosis o
n intracellular Ca2+ concentration ([Ca2+](i)). In fura 2-loaded cells, [Ca
2+](i) was selectively elevated by flash photolysis of a cell-permeant cage
d Ca2+ compound (o-nitrophenyl EGTA-AM) or by gradually enhancing cellular
Ca2+ influx. Simultaneously, surfactant secretion by single cells was analy
zed with the fluorescent dye FM 1-43, enabling detection of exocytotic even
ts with a high temporal resolution (T. Haller, J. Ortmayr, F. Friedrich, H.
Volkl, and P. Dietl. Proc. Natl. Acad. Sci. USA 95: 1579-1584, 1998). Exoc
ytosis was initiated at a threshold concentration near 320 nmoL/1 with both
instantaneous or gradual [Ca2+](i) elevations. The exocytotic response to
flash photolysis was highest during the first minute after the rise in [Ca2
+](i) and thus almost identical to purinoceptor stimulation by ATP. Corresp
ondingly, the effects of ATP on initial secretion could be sufficiently exp
lained by its ability to mobilize Ca2+. This was further demonstrated by th
e fact that exocytosis is significantly blocked by suppression of the ATP-i
nduced Ca2+ signal below similar to 300 nmol/1. Our results suggest a highl
y Ca2+-sensitive step in LB exocytosis.