Li þ /Mg 2þ competition has been implicated in the therapeutic action of Li þ treatment in bipolar illness. We hypothesized that this competition depended on cell-specific properties. To test this hypothesis, we determined the degree of Li þ transport, immobilization, and Li þ /Mg 2þ competition in lymphoblastomas, neuroblastomas, and erythrocytes. During a 50 mmol/L Li þ -loading incubation, Li þ accumulation at 30 min (mmoles Li þ /L cells) was the greatest in lymphoblastomas (11:1 AE 0:3), followed by neuroblastomas (9:3 AE 0:5), and then erythrocytes (4:0 AE 0:5). Li þ binding affinities to the plasma membrane in all three cell types were of the same order of magnitude; however, Li þ immobilization in intact cells was greatest in neuroblastomas and least in erythrocytes. When cells were loaded for 30 min in a 50 mmol/L Li þ -containing medium, the percentage increase in free intracellular [Mg 2þ ] in neuroblastoma and lymphoblastoma cells ($55 and $52%, respectively) was similar, but erythrocytes did not exhibit any substantial increase ($6%). With the intracellular [Li þ ] at 15 mmol/L, the free intracellular [Mg 2þ ] increased by the greatest amount in neuroblastomas ($158%), followed by lymphoblastomas ($75%), and then erythrocytes ($50%). We conclude that Li þ immobilization and transport are related to free intracellular [Mg 2þ ] and to the extent of Li þ /Mg 2þ competition in a cell-specific manner. #