Airway mucin secretion is necessary for ciliary clearance of inhaled particles and pathogens, but can be detrimental in pathologies such as asthma and cystic fibrosis. Exocytosis in mammals requires a Munc18 scaffolding protein, and airway secretory cells express all three Munc18 isoforms. Using conditional airway epithelial deletant mice, we found that Munc18a has the major role in baseline mucin secretion, Munc18b has the major role in stimulated mucin secretion, and Munc18c does not function in mucin secretion. In an allergic asthma model, Munc18b deletion reduced airway mucus occlusion and airflow resistance. In a cystic fibrosis model, Munc18b deletion reduced airway mucus occlusion and emphysema. Munc18b deficiency in the airway epithelium did not result in any abnormalities of lung structure, particle clearance, inflammation, or bacterial infection. Our results show that regulated secretion in a polarized epithelial cell may involve more than one exocytic machine at the apical plasma membrane, and that the protective roles of mucin secretion can be preserved while therapeutically targeting its pathologic roles. lungs (11). In allergic asthma, overexpressed and rapidly secreted Muc5ac causes airway mucus occlusion and airflow obstruction (12).Mucins are secreted at a low baseline rate and a high agonist-stimulated rate (13,14).Both rates are regulated by the second messengers diacylglycerol and calcium acting on the exocytic sensor Munc13-2 (15). Important extracellular agonists promoting baseline secretion are ATP and its metabolite adenosine, released predominantly from ciliated cells sensing shear stress from airflow during ventilation (14,16,17). These agonists act on heptahelical receptors coupled by G-proteins of the Gq subtype to PLCβ that generates the second messengers diacylglycerol and inositol triphosphate, with the latter inducing the release of calcium from intracellular stores (13). Higher levels of the same agonists can stimulate high rates of mucin secretion (18), as can the neural and inflammatory mediators acetylcholine and histamine acting on the same pathway downstream of their cognate receptors (12). At high levels of intracellular calcium, the fast, low-affinity exocytic calcium sensor Synaptotagmin-2 promotes mucin secretion (19). Baseline secretion is thought to be primarily responsible for clearance of inhaled particles and pathogens, while stimulated secretion can induce airway obstruction protectively to trap helminths or pathologically in asthma (11,12).Defects in mucin secretion in SNAP23 and VAMP8 mutant mice implicate the highly conserved SNARE (soluble N-ethylmaleimide-sensitive factor attachment protein receptors) machinery in mucin exocytosis (20,21). The SNARE complex is a four-helix bundle comprised of three helices attached to the target membrane (t-SNAREs) and M.J. Tuvim and B.F. Dickey conceived the study. A.M. Jaramillo performed most experiments and analyses.