Summary Cultured cells maintained in very low oxygen levels alter their structure, metabolism and genetic expression. Culture conditions for cells were modified to minimise variation of nutrients and to allow normal survival levels after 24 h of hypoxic exposure. Under these hypoxic conditions, glucose consumption and lactate production rates were similar to aerobic rates until about 12 h after which the hypoxic rates increased. DNA and protein synthesis rates are continuously inhibited to about 48% or 55% of the respective aerobic rates. During this period of decreased protein synthesis, a set of proteins termed oxygen regulated proteins (ORPs), exhibits enhanced relative synthesis. The molecular weights of the five major ORPs are approximately 260, 150, 100, 80 and 33 kDa. While increased relative synthesis of oxygen regulated proteins is partly due to increased levels of mRNA which encode these proteins, the mechanism of enhanced synthesis of ORPs may be more complex.Hypoxia and related pathophysiologic environmental and cellular metabolic changes can be determining factors for the effectiveness of treatment of tumours using radiation therapy (Hall, 1978), hyperthermia (Gerweck et al., 1979) or chemotherapy (Teicher et al., 1981). Cells are resistant to irradiation virtually immediately upon introduction of severe hypoxia and are sensitised quickly after oxygen addition (Michael et al., 1973). Slower responses to hypoxia include increased hyperthermia and adriamycin resistance (Li & Shrieve, 1982;Smith et al., 1980).The most notable metabolic change during hypoxia is the increased rate of glucose consumption. Enhanced synthesis of selected proteins after hypoxia has been reported in plants (Guttman et al., 1980) and mammalian cell lines (Sciandra et al., 1984;Heacock & Sutherland, 1986). These stress proteins have been termed oxygen regulated proteins (ORPs) to denote proteins whose synthesis is enhanced during hypoxia and repressed after addition of oxygen. ORPs may be very similar to proteins synthesised after prolonged glucose deprivation (Sciandra et al., 1984). To understand the molecular basis of resistance to various treatments and rationally plan therapeutic treatments, the basic biochemical events occurring during hypoxia must be studied. (Chen, 1977). Additionally, rodent cell lines were free of human cell contamination by lactate dehydrogenase isozyme determination (Dietz & Lubrano, 1967).Experimental cultures were initiated 20-24 hours before each experiment, except where noted, such that approximately 106 cells existed per 100 mm diameter glass Petri dish. When dishes of differing size were used, the number of cells and volume of medium was changed proportionally to the measured surface area. Loosely attached and floating cells were removed by pipetting off the growth medium and BME rinse. Attached cells were removed by 5-O min incubation at 37'C with 5 ml of 0.1% trypsin (Worthington). Trypsin was inactivated by addition of 5 ml of growth medium before determination of cell number and cell vol...