Ca2؉ -regulated exocytosis, previously believed to be restricted to specialized cells, was recently recognized as a ubiquitous process. In mammalian fibroblasts and epithelial cells, exocytic vesicles mobilized by Ca 2؉ were identified as lysosomes. Here we show that elevation in intracellular cAMP potentiates Ca 2؉ -dependent exocytosis of lysosomes in normal rat kidney fibroblasts. The process can be modulated by the heterotrimeric G proteins G s and G i , consistent with activation or inhibition of adenylyl cyclase. Normal rat kidney cell stimulation with isoproterenol, a -adrenergic agonist that activates adenylyl cyclase, enhances Ca 2؉ -dependent lysosome exocytosis and cell invasion by Trypanosoma cruzi, a process that involves parasite-induced [Ca 2؉ ] i transients and fusion of host cell lysosomes with the plasma membrane. Similarly to what is observed for T. cruzi invasion, the actin cytoskeleton acts as a barrier for Ca 2؉ -induced lysosomal exocytosis. In addition, infective stages of T. cruzi trigger elevation in host cell cAMP levels, whereas no effect is observed with noninfective forms of the parasite. These findings demonstrate that cAMP regulates lysosomal exocytosis triggered by Ca 2؉ and a parasite/host cell interaction known to involve Ca 2؉ -dependent lysosomal fusion.Ca 2ϩ -regulated exocytosis has been traditionally regarded as a specialized process present in only a few cell types. Recently, however, evidence has been accumulating indicating that it is a ubiquitous process observed in a variety of animal cells (1-5). A previous study from our laboratory showed that between 10 and 20% of conventional lysosomes in fibroblasts and epithelial cells fuse with the plasma membrane and release their contents upon elevation of the intracellular free Ca 2ϩ concentration ([Ca 2ϩ ] i ) (6). Lysosome exocytosis is similar to other well characterized forms of Ca 2ϩ -regulated exocytosis in specialized cells, in the sense that it is ATP and temperature-dependent and requires micromolar levels of [Ca 2ϩ ] i (6). These findings are consistent with recent capacitance measurements in Chinese hamster ovary cells, which showed that vesicles in the size range of lysosomes (0.4 -1.5 M) fuse with the plasma membrane in response to 6 -20 M [Ca 2ϩ