Although cAMP is well known to regulate exocytosis in many secretory cells,
its direct target in the exocytotic machinery is not known. Here we show t
hat cAMP-GEFII, a cAMP sensor, binds to Rim (Rab3-interacting molecule, Rab
3 being a small G protein) and to a new isoform, RimP, both of which are pu
tative regulators of fusion of vesicles to the plasma membrane. We also sho
w that cAMP-GEFII, through its interaction with Rim2, mediates cAMP-induced
, Ca2+-dependent secretion that is not blocked by an inhibitor of cAMP-depe
ndent protein kinase (PKA). Accordingly, cAMP-GEFII is a direct target of c
AMP in regulated exocytosis and is responsible for cAMP-dependent, PKA-inde
pendent exocytosis.