Most mammalian cells have developed compensatory mechanisms to respond to t
he variable osmotic stress caused by changes in the concentrations of intra
cellular osmo-active substances (e.g. glucose, amino acids, lactate) or by
variations in the osmolarity of the surrounding medium. In response to osmo
tic cell swelling, the Regulatory Volume Decrease (RVD) is triggered and di
rects a reduction in the tonicity of the cell by the concerted opening of c
ation and anion selective ion channels. To date, the K+ and Cl- conductance
s activated upon hypo-osmotic stimulation have been characterised electroph
ysiologically in many different cell systems. The molecular identity of the
channels however, as well as the mechanism(s) involved in their activation
have not yet been fully clarified and may differ between cell types. In th
is review, we will evaluate the different signalling pathways activated by
osmotic cell swelling and discuss their putative role(s) in ion channel reg
ulation, in maintaining cellular volume homeostasis, and in auto- and parac
rinic signal transduction, with emphasis on intestinal epithelial cells. Co
pyright (C) 2000 S. Karger AG, Basel.