crine secretory vesicles discharge their cargo in response to a stimulus, but the nature of this event is poorly understood. We studied the release of the pituitary hormone prolactin by hypotonicity, because this hormone also contributes to osmoregulation. In perfused rat lactotrophs, hypotonicity resulted in a transient increase followed by a sustained depression of prolactin release, as monitored by radioimmunoassay. In single cells imaged by confocal microscopy, hypotonicity elicited discharge of the fluorescently labeled atrial natriuretic peptide cargo from ϳ2% of vesicles/cell. In contrast, KCl-induced depolarization resulted in a response of ϳ10% of vesicles/cell, with different unloading/loading time course of the two fluorescent probes. In cell-attached studies, discrete changes in membrane capacitance were recorded in both unstimulated and stimulated conditions, reflecting single vesicle fusion/fissions with the plasma membrane. In stimulated cells, the probability of occurrence of full fusion events was low and unchanged, whereas over 95% of fusion events were transient, with the open fusion pore probability, the average pore dwell-time, the frequency of occurrence, and the fusion pore conductance increased. Hypotonicity only rarely elicited new fusion events in silent membrane patches. The results indicate that, in hypotonicitystimulated lactotrophs, transient vesicle fusion mediates hormone release.prolactin; hormone secretion; rat lactotrophs; fusion pore; postfusion release regulation AMONG ITS MANY FUNCTIONS, peptidergic hormone prolactin plays also a role in osmoregulation (14). Previous studies demonstrated prolactin release from isolated tissue (18,34,41,42) or cells in response to hyposmotic stimulation (41, 50), which required extracellular calcium (23,40,41). While these findings suggest that prolactin is likely released by exocytosis in response to hyposmotic stress, secretory activity at the single vesicle level in response to hypotonicity was not monitored directly yet. In particular, it is unclear whether the hormone is released rapidly after complete collapse of vesicles into the plasma membrane (24) by full fusion exocytosis (21) or by kiss-and-run exocytosis (1, 13), whereby vesicles transiently fuse with the plasma membrane, forming a channel with the extracellular space, termed the fusion pore.To address these questions, we studied rat pituitary lactotrophs, which release prolactin stored in a highly aggregated form in large dense-core secretory vesicles (10). To monitor secretory activity, we used perfusion experiments and radioimmunoassays and recorded single exocytotic and vesicle release events in real time, using confocal microscopy, styryl dyes, and fluorescently labeled peptides (2, 45). To directly study fusion pore properties, we used electrophysiological methods to monitor membrane capacitance (C m ), which is linearly related to changes in membrane area (30,35,48,53). Experimental evidence indicates that fusion of secretory vesicles in lactotrophs occurs spontaneously an...