“…Alteration of intracellular ion concentrations may be important for triggering conformational changes in virion proteins during uncoating or penetration, for activation of viral transcriptases, or for virion assembly, budding, and maturation (10,45,56,60). Changes in intracellular ion concentrations caused by picornaviruses and alphaviruses also correlate with preferential translation of viral proteins (host cell shutoff) (2,11,22,23), and ion-driven osmotic cell swelling appears necessary for cell-cell fusion mediated by paramyxoviruses, myxoviruses, and herpesviruses (7,8,35,47). Osmotic cell swelling (balloon degeneration) induced by HIV and other fusogenic viruses could provide the primary force for membrane separation, destabilization, or the cytoskeletal disruption required for formation of multinucleated syncytial cells.…”