Cell volume regulatory ion channels in cell proliferation and cell death

Alterations of cell volume are key events during both cell proliferation and apoptotic cell death. Cell proliferation eventually requires an increase of cell volume, and apoptosis is typically paralleled by cell shrinkage. Alterations of cell volume require the participation of ion transport across the cell membrane, including appropriate activity of Cl- and K+ channels. Cl- channels modify cytosolic Cl- activity and mediate osmolyte flux, and thus influence cell volume. Most Cl- channels allow exit of HCO3-, leading to cytosolic acidification, which in turn inhibits cell proliferation and favors apoptosis. K+ exit through K+ channels decreases cytosolic K+ concentration, which may sensitize the cell for apoptotic cell death. K+ channel activity further maintains the cell membrane potential, a critical determinant of Call entry through Ca2+ channels. Call may, in addition, enter through Ca2+-permeable cation channels, which, in some cells, are activated by hyperosmotic shock. Increases of cytosolic Ca2+ activity may trigger both mechanisms required for cell proliferation and mechanisms, leading to apoptosis. Thereby cell proliferation and apoptosis depend on magnitude and temporal organization of Ca2+ entry, as well as activity of other signaling pathways. Accordingly, the same ion channels may participate in the stimulation of both cell proliferation and apoptosis. Specific ion channel blockers may thus abrogate both cellular mechanisms, depending on cell type and condition.