“…25 It should nevertheless be emphasized that the way pH i varies following mitochondrial production of H 2 O 2 might depend upon intracellular H 2 O 2 concentration; indeed, as observed by Clé ment et al, 27 an acidification was induced by apoptotic doses of exogenous H 2 O 2 (0.25-0.5 mM) whereas necrotic concentrations (41 mM) promoted intracellular alkalinization. Besides H 2 O 2 , other factors, such as nitric oxide, which has been shown to be proapoptotic under certain circumstances 28 and to induce cytosolic acidification, for example, in neurons, 29 or more simply a collapse of the sodium gradient, 30 might also be involved in the downregulation of NHE activity ( Figure 4); this remains as yet to be tested. In addition to NHE, it is important to stress at this point that other membrane transporters or channels as well as lactate production by glycolysis also deserve attention in the future, since they might also participate, in some situations, in the development of cytosolic acidification.…”