A release of intracellular enzymes may occur as a result of energy depletion of
the cells or after direct membrane damage. A direct membrane damage, however, may be
counteracted by the cell by energy-consuming reactions, thus more or less being dependent
on the cellular energy level. Therefore, the association between enzyme release and the
energy level was investigated after addition of various agents impairing the normal membrane
function, i.e. lysophosphatidylcholine, phospholipases, the Ca ionophore A23187,
ouabain and superoxide/H(2)O(2), and after incubation in a hypotonic medium. It was observed
that in some types of membrane damage the cellular energy is minimally involved, in other
types the extent of enzyme release depends on the cellular energy level, and in some other
types the cellular energy is affected but the connection to the enzyme release is not clear. The
results also indicate that the effect of membrane-active agents arising in ATP-depleted states
may be more severe in ATP-depleted than in normal cells.