Permeability of cell membranes to cations may increase as a result of membr
ane oxidation or in certain pathologies. We studied the effects of nonselec
tive increases in cell membrane permeability to univalent cations on the vo
lume of erythrocytes incubated in phosphate-buffered saline (PBS) using amp
hotericin B (5-10 mg/l suspension) or gramicidin D (10-100 mug/l suspension
) as the membrane permeabilizing agents. Both antibiotics caused K+ to leak
, Na+ to accumulate intracellularly, and cell volume to increase. The inter
val needed to reach the equilibrium between the intracellular and extracell
ular ion concentrations ranged from 30 min to several hours, depending on t
he antibiotic concentration. In spite of a rapid disappearance of cation tr
ansmembrane gradients, cell volume increased relatively slow. Even 24 h aft
er the membrane permeability was changed, the volume of most erythrocytes d
id not increase to the lytic values (about 1.6 times the normal volume). Th
e slow increase in erythrocyte volume was accounted for by slow changes in
the transmembrane Cl- gradient. 4,4'-Diisothiocyanatostilbene-2,2'-disulfon
ic acid (DIDS). a specific inhibitor of anion transport, while producing no
effect on the transmembrane Na+ and K+ fluxes induced by the antibiotics,
significantly inhibited the decrease in the transmembrane Cl- gradient and
the increase in erythrocyte volume. Analysis of these data by means of math
ematical modeling showed that it failed to satisfactorily describe the expe
rimental kinetics of erythrocyte swelling in response to increases in the m
embrane permeability to univalent cations if its permeability to Cl- was se
t to be constant. The satisfactory description of this kinetics could be ac
hieved by assuming that the membrane permeability to anions decreased with
increasing erythrocyte volume. The results obtained demonstrate that transm
embrane anion transport may be considered to be a component of the mechanis
m responsible for the erythrocyte volume stabilization, because a significa
nt decrease in the swelling rate allows the erythrocytes with damaged membr
anes to activate a relatively slow (metabolic) mechanisms of cell volume st
abilization and/or repair their damaged membranes. (C) 2000 Elsevier Scienc
e S.A. All rights reserved.