Most mammalian cell types, including endothelial cells, respond to cell swelling by activating a Cl ؊ current termed I Cl,swell , but it is not known how the physical stimulus of cell swelling is transferred to the channels underlying I Cl,swell . We have investigated the precise relation between cell volume and I Cl,swell in endothelial cells by performing whole-cell current recordings while continuously monitoring cell thickness (T c ) as a measure for cell volume. The time course of T c was accurately predicted by a theoretical model that describes volume changes of patch-clamped cells in response to changes in the extracellular osmolality (OSM o ). This model also predicts significant changes in intracellular ionic strength (⌫ i ) when OSM o is altered. Under all experimental conditions I Cl,swell closely followed the changes in ⌫ i , whereas I Cl,swell and cell volume were often found to change independently. These results do not support the hypothesis that ⌫ i regulates the volume set point for activation of I Cl,swell . Instead, they are in complete agreement with a model in which a decrease of ⌫ i rather than an increase in cell volume is the initial trigger for activation of I Cl,swell .All living cells are programmed to activate a series of cellular processes to counter the harmful effects of cell swelling. One of the first detectable effects of cell swelling in most vertebrate cells is an increase in the plasma membrane permeability to anions, through the opening of anion channels (1). Although different types of swelling-activated anion currents have been functionally described, one phenotype seems to be predominant. This outwardly rectifying current, which under normal conditions is mainly carried by Cl Ϫ , has been termed I Cl,swell for swelling-activated Cl Ϫ current, and the underlying channel has been termed VRAC for volume-regulated anion channel. The biophysical and pharmacological properties of I Cl,swell ͞VRAC have been extensively studied (for recent reviews, see refs. 2-4), but the precise activation mechanism of I Cl,swell is still not resolved. Particularly, it remains unclear how the cell ''senses'' changes in its volume and translates this physical stimulus into the opening of VRAC.Hypotonicity-induced cell swelling is accompanied by a dilution of the intracellular medium, resulting in a decrease of ⌫ i , the intracellular ionic strength. Interestingly, it was recently shown that ⌫ i modulates I Cl,swell , independent of the molecular nature of the intracellular ions. A model was proposed in which ⌫ i regulates the volume set point for activation of VRAC, by modulating a putative ''volume sensor '' (5-7).In the present study we tested this model by investigating the relation between cell volume, ⌫ i , and I Cl,swell in endothelial cells. To this end, we set up a combined system that enables the simultaneous measurement of whole-cell currents and cell thickness (T c ). A theoretical model was developed that accurately predicts the osmotically induced volume changes and the conco...