Yamamoto, Shintaro, and Tsuguhisa Ehara. Acidic extracellular pH-activated outwardly rectifying chloride current in mammalian cardiac myocytes. Am J Physiol Heart Circ Physiol 290: H1905-H1914, 2006. First published December 9, 2005 doi:10.1152/ajpheart.00965.2005.-Extracellular acidic pH was found to induce an outwardly rectifying Cl Ϫ current (ICl,acid) in mouse ventricular cells, with a half-maximal activation at pH 5.9. The current showed the permeability sequence for anions to be SCN Ϫ Ͼ Br Ϫ Ͼ I Ϫ Ͼ Cl Ϫ Ͼ F Ϫ Ͼ aspartate, while it exhibited a time-dependent activation at large positive potentials. Similar currents were also observed in mouse atrial cells and in atrial and ventricular cells from guinea pig. Some Cl Ϫ channel blockers (DIDS, niflumic acid, and glibenclamide) inhibited I Cl,acid, whereas tamoxifen had little effect on it. Unlike volume-regulated Cl Ϫ current (I Cl,vol) and CFTR Cl Ϫ current (ICl,CFTR), ICl,acid was independent of the presence of intracellular ATP. Activation of I Cl,acid appeared to be also independent of intracellular Ca 2ϩ and G protein. ICl,acid and I Cl,vol could develop in an additive fashion in acidic hypotonic solutions. Isoprenaline-induced I Cl,CFTR was inhibited by acidification in a pH-dependent manner in guinea pig ventricular cells. Our results support the view that I Cl,acid and ICl,vol stem from two distinct populations of anion channels and that the I Cl,acid channels are present in cardiac cells. I Cl,acid may play a role in the control of action potential duration or cell volume under pathological conditions, such as ischemia-related cardiac acidosis. acidosis; chloride channel; heart CHLORIDE (Cl Ϫ ) channels play a role in a variety of cell functions, such as cell cycle, apoptosis, ion homeostasis, cell volume regulation, and muscle tone (for review see Refs. 11,12,and 20). Several types of Cl Ϫ currents have been recorded in native cardiac cells (for review see Refs. 9 and 11). These include Cl Ϫ currents activated by intracellular PKA (I Cl,PKA ), PKC (I Cl,PKC ), Ca 2ϩ (I Cl,Ca ), extracellular ATP (I Cl,ATP ), or cell swelling (I Cl,vol ) and an inwardly rectifying Cl Ϫ current (I Cl,ir ). The channels responsible for I Cl,PKA , I Cl,PKC , and I Cl,ATP likely share the same molecular basis derived from CFTR gene, and thus these currents can be unified as I Cl,CFTR (11). It has been shown that some of these Cl Ϫ currents depend on extracellular pH (pH o ). Acidic pH o enhances I Cl,Ca in rabbit ventricular cells (10) and I Cl,ir in rat atrial and ventricular cells (13,14) and inhibits I Cl,CFTR in guinea pig ventricular cells (17). The roles of such pH o -dependent attenuation of Cl Ϫ currents in cardiac electrical activity under pathophysiological conditions have been investigated (9 -11, 13, 14).On the other hand, a more directly pH o -dependent regulation has been found in cultured cells. Auzanneau et al. (1) Recently, however, Lambert and Oberwinkler (15) extensively studied the properties of I Cl,acid and I Cl,vol in HEK293 cells. Their import...