compartmentalized to near membrane domains in endothelium, where it strengthens endothelial cell barrier function. Phosphodiesterase 4D4 (PDE4D4) interacts with the spectrin membrane skeleton and prevents cAMP from accessing microtubules. Expression of a dominant-negative PDE4D4 peptide enables cAMP to access microtubules, where it results in phosphorylation of the nonneuronal microtubule-associated protein tau at serine 214. Presently, we sought to determine whether PKA is responsible for tau-Ser214 phosphorylation and furthermore whether PKA phosphorylation of tau-Ser214 is sufficient to reorganize microtubules and induce endothelial cell gaps. In cells expressing the dominant-negative PDE4D4 peptide, forskolin activated transmembrane adenylyl cyclases, increased cAMP, and induced tau-Ser214 phosphorylation that was accompanied by microtubule reorganization. PKA catalytic and regulatory I subunits, but not the regulatory II subunit, coassociated with reorganized microtubules. To determine the functional consequence of tau-Ser214 phosphorylation, wild-type human tau40 and tau40 engineered to possess an alanine point mutation (S214A) were stably expressed in endothelium. In cells expressing the dominant-negative PDE4D4 peptide and tau-S214A, PKA-dependent phosphorylation of both the endogenous and heterologously expressed tau were abolished. Expression of tau-S214A prevented forskolin from depolymerizing microtubules, inducing intercellular gaps, and increasing macromolecular permeability. These findings therefore identify nonneuronal tau as a critical cAMP-responsive microtubule-associated protein that controls microtubule architecture and endothelial cell barrier function. adenylyl cyclase; cytoskeleton; phosphodiesterase ENDOTHELIAL CELLS FORM A RESTRICTIVE barrier that limits fluid, solute, and macromolecule access to the interstitium. The microtubule network plays a key role in establishing endothelial cell shape and hence barrier integrity (17, 41). Whereas stabilizing microtubules enhances endothelial barrier function, disrupting microtubules induces interendothelial cell gap formation that increases permeability (33,47).Tau and other microtubule-associated proteins bind to and stabilize microtubules (3,45). Although tau is a relatively small protein, it shares a conserved 18-amino acid microtubule-binding repeat in common with larger microtubule-associated proteins (3, 44). Tau isoforms vary in their number of repeat domains (20), with the longest tau40 isoform having 4 microtubule-binding repeats at residues 256 -273, 287-304, 318 -335, and 350 -367.Tau40 possesses multiple consensus phosphorylation sites (3, 25); 20% of the tau40 amino acid sequence comprises serine, threonine, and tyrosine residues that can potentially be phosphorylated (25). At least two types of kinase phosphorylation sites exist in tau proteins: proline-direct kinase sites, which possess a threonine-proline (TP)-serine-proline (SP) sequence, and nonproline-directed sites. Most of the TP-SP sites are located in either the NH 2 -or C...