Previous studies that have evaluated the Na + -H + antiporter in cells from hypertensive subjects were generally performed under conditions in which HCO 3 -CO 2 , the physiological buffer system, was absent from the assay media. The objective of this study was to evaluate the activity of the Na + -H + antiporter and that of the Na + -dependent and Na + -independent Cr-HCO 3 " exchangers in cells assayed in the presence of HCO3-CO2 in the media. Lymphocytes from 6-to 8-week-old spontaneously hypertensive rats (SHR) and age-matched Wistar-Kyoto (WKY) rats were obtained from the thymus gland and assayed immediately after isolation. The activity of the Na + -H + antiporter after stimulation by cell acidification (pH, approximately 6.4) was similar in SHR and WKY rats (18.67+1.03 and 16.12±0.92 mmol H + /L per minute, respectively). Recovery from cell alkalinization was effected by an Na + -independent C1~-HCO 3~ exchanger, with maximal activity at an alkaline pH, (approximately 7.7). The stimulated activity of this Na + -independent Cr-HCO 3 " exchanger was also not different between SHR and WKY cells (2.65±0.25 and 2.55±0.32 mmol H + /Lper minute, respectively). Acute chloride removal produced a rise in pH, that was Na + -dependent and sensitive to 4,4'-diisothiocyanatostilbene-2,2'-disulfonic acid (DIDS) but resistant to ethylisopropylamiloride (EIPA), reflecting the activity of an Na + -dependent C1~-HCO 3~ ex-O ver the last several years the investigation of intracellular proton concentration and the Na + -H + antiporter in experimental 16 and clinical 7 " 14 hypertension has received increasing attention. Previous studies that have evaluated the Na + -H + antiporter in cells from hypertensive subjects were performed under conditions in which bicarbonate-carbon dioxide (HCO 3 -CO 2 ), the physiological buffer system, was absent from the assay media. This, by design, results in an overestimation of the role of the Na + -H + antiporter in the regulation of intracellular pH (pH|) and ignores the existence of other HCO 3~-dependent transporters that contribute not only to the regulation of pH| 15 -17 but also to the regulation of cell volume, 1819 cell growth, 2021 and intracellular sodium. 22 Alterations in the control of any or all of these processes could in various ways be involved in the pathogenesis of hypertension. 2 - 3910 -23 Received September 10, 1993; accepted in revised form December 21, 1993.From Northwestern University Medical School and Lakeside Veterans Administration Hospital, Chicago, Illinois.Correspondence to Daniel Batlle, MD, Division of Nephrology and Hypertension, Northwestern University Medical School, 310 E Superior, Morton Bldg 3-615, Chicago, IL 60611.changer. Unlike the Na + -H + exchanger and the Na + -independent C1"-HCO 3 " exchanger, which had their highest activities at extremes of pH, (low pH|, Na + -H + exchanger, and high pH, Na + -independent C1"-HCO 3 " exchanger), the Na + -dependent G~-HCO 3~ exchanger had its maximal activity near steady-state pH, (approximately...