Red blood cells have been Shown to possess specific insulin receptors,
with characteristics similar to the receptors of typical target cells
. The present work was carried out to study the modulation of maloidea
e sensitive Na/H antiport by insulin on rat red blood cells. The activ
ity of the Na/H antiport was determined by a new technique which invol
ves the measurement of the fluorescence of 2',7'-bis(2-carboxyethyl)-5
,6-carboxyfluorescein (BCECF) loaded rbc's as function of their intrac
ellular pH (pHi). Our results show that the antiport in red blood cell
s displays the same behaviour as in other cells and it is inhibited by
amiloride. Insulin stimulates the antiport with a dose-dependence sim
ilar to other typical insulin effects: a maximum at 10 nM and a smalle
r effect at higher and lower hormone concentrations. Insulin effect on
the antiport was completely abolished by amiloride (0.1 mM) and signi
ficantly inhibited by ouabain (1 mM) showing, also in red blood cells,
the strict dependence of the Na/H antiport on the. functioning of the
Na pump.