OBJECTIVE: Human cervical cells form confluent cultures on filters with a relatively high degree of paracellular permeability. We sought to determine the extent to which acute and reversible changes in permeability in response to modulators of paracellular resistance affect the resistance of the lateral intercellular space (R(LIS)), or of the tight junctions (R(TJ)). METHODS: The question was approached experimentally by measuring the effects of combinations of physical/chemical conditions whose actions on the paracellular resistance are relatively well understood leg, changes in hydrostatic gradients, medium tonicity, and medium calcium concentration). Changes in paracellular permeability were determined relative to changes in transepithelial electrical resistance (TER) and to the epithelial permeability to the trisulfonic acid pyranine (Ppyr). Changes in R(TJ) were determined relative to changes in the transepithelial cation selectivity, as determined from changes in dilution potential. RESULTS: 1) Low extracellular calcium abrogates the TER and decreases transepithelial cation selectivity (ie, decreases R(TJ)). 2) Changes in TER induced by changes in hydrostatic gradients and medium tonicity modulate TER but have no effect on cation selectivity (ie, the effect war on R(LIS)). 3) Low-calcium-related decreases in TER are additive to those of hydrostatic and hypertonic gradients and hypotonic renditions. 4) Subluminal to luminal hydrostatic and hypertonic gradients decrease TER, but the effects are nonadditive. CONCLUSIONS: These results indicate that R(LIS) and R(TJ) can be selectively modulated. Based on quantitative analysis of the data it is predicated that R(LIS) and R(TJ) constitute the TER of the cultured cervical epithelium, and contribute about 25 and 75%, respectively, to the total resistance.