Extracellular ATP and its metabolite adenosine regulate mucociliary clearance in airway epithelia. Little has been known, however, regarding the actual ATP and adenosine concentrations in the thin (ϳ7 m) liquid layer lining native airway surfaces and the link between ATP release/metabolism and autocrine/paracrine regulation of epithelial function. In this study, chimeric Staphylococcus aureus protein A-luciferase (SPA-luc) was bound to endogenous antigens on primary human bronchial epithelial (HBE) cell surface and ATP concentrations assessed in real-time in the thin airway surface liquid (ASL). ATP concentrations on resting cells were 1-10 nM. Inhibition of ecto-nucleotidases resulted in ATP accumulation at a rate of ϳ250 fmol/min/cm 2 , reflecting the basal ATP release rate. Following hypotonic challenge to promote cell swelling, cell-surface ATP concentration measured by SPA-luc transiently reached ϳ1 M independent of ASL volume, reflecting a transient 3-log increase in ATP release rates. In contrast, peak ATP concentrations measured in bulk ASL by soluble luciferase inversely correlated with volume. ATP release rates were intracellular calcium-independent, suggesting that non-exocytotic ATP release from ciliated cells, which dominate our cultures, mediated hypotonicity-induced nucleotide release. However, the cystic fibrosis transmembrane conductance regulator (CFTR) did not participate in this function. Following the acute swelling phase, HBE cells exhibited regulatory volume decrease which was impaired by apyrase and facilitated by ATP or UTP. Our data provide the first evidence that ATP concentrations at the airway epithelial surface reach the range for P2Y 2 receptor activation by physiological stimuli and identify a role for mucosal ATP release in airway epithelial cell volume regulation.ATP regulates the airway epithelial mucociliary clearance activities that are critical for pulmonary host defense against bacteria which deposit on airway surfaces. ATP activates the G q /phospholipase C-coupled P2Y 2 receptors (P2Y 2 -R), 2 which in turn promotes Cl Ϫ secretion via calcium-activated Cl Ϫ channels (CaCC) (1), inhibits Na ϩ absorption mediated by epithelial sodium channels (2), increases ciliary beat frequency (3), and triggers mucin release (4, 5). Released ATP is rapidly hydrolyzed to ADP, AMP, and adenosine (ADO) by cell-surface nucleotidases. ADO activates G s /adenylyl cyclase-coupled A 2b receptor to promote cyclic AMP-dependent cystic fibrosis transmembrane conductance regulator (CFTR) activation and Cl Ϫ secretion (6, 7). Functional and biochemical evidence indicates that release and subsequent metabolism of ATP on the airway surface contribute to P2Y 2 and A 2b receptor-regulated electrolyte transport and airway surface liquid (ASL) volume homeostasis (8,9).Whereas the roles of ATP and ADO in modulating mucociliary clearance and associated airway epithelial activities have been intensively investigated, it is largely unknown how ATP concentrations in the thin (ϳ7 m) periciliary liquid lining air...