A B S T R A C T Intact rat diaphragms were exposed in vitro to varying CO2 tensions and bicarbonate concentrations, and the steady-state citrate content of diaphragm muscle was measured to investigate the relationship between metabolism and extracellular pH, Pco2, and (HC03-). In addition, rat hemidiaphragms were incubated with 1,5-citrate-1'C under different acid-base conditions, and "CO2 production was determined as a measure of citrate oxidation.Acidification of the bathing medium achieved by raising C02 tension or lowering (HCO3-) was associated with a decrease in muscle citrate content. On the other hand, alkalinization of the medium induced by lowering CO tension or raising (HCO3-) caused tissue citrate content to rise. At a physiologic extracellular pH value of approximately 7.40, citrate content was decreased or normal depending on the CO2/HC03-combination employed to attain the pH. Under low bicarbonate and low Pco2 conditions, citrate content was reduced. A similar result was found at external pH values of 7.15, implying that at these two extracellular pH levels (HCOa-) primarily determines citrate content. When changes in citrate content were compared with intracellular pH data reported earlier using the same intact diaphragm preparation, no simple relation between citrate content and intracellular pH was found. The effect of acidity on citrate content seems related to a change in citrate oxidation since the latter increased progressively with increasing degrees of medium acidity.These results show that cellular metabolism is not a simple function of extracellular pH but is dependent on the particular combination of Pco2 and bicarbonate employed to achieve the pH value. These studies also suggest that accumulation or disposal of organic acids, such as citric acid, helps to regulate cellular acidity thereby contributing to the cells' defense against external acid-base disorders.An (6)(7)(8)(9). Second, cell pH was found not to have a simple relationship to extracellular pH but appeared to be a complex function dependent on the particular combination of Pco2 and bicarbonate used to achieve a particular extracellular pH value (4). Third, the cell was able to maintain its pH constant over a wide range of extracellular acidity (3). Adler, Roy, and Relman speculated that this remarkable ability of the cell to maintain its pH constant could be due either to changes in the flux rates of hydrogen, hydroxyl, or bicarbonate ions or to changes in the internal metabolism of acids or bases (3).This study was undertaken to de~termine if the content of a key intermediary metabolite, citrate, varied in intact diaphragm when extracellular pH was systematically altered, and whether any changes found were due to extracellular pH alone or were dependent on the C02 tension or bicarbonate concentration of the extracellular fluid. Citrate was chosen since its metabolism has been shown to vary directly with pH in renal cortical slices (10). In addition, the citrate content of rat gluteal muscle changes markedly when an extra...