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Updated: Oct 29, 2025

Measuring the pH, Redox Chemistries, and Degradative Capacity of Macropinosomes using Dual-Fluorophore Ratiometric Microscopy
Published on: August 19, 2021
From Pinocytosis to Methuosis-Fluid Consumption as a Risk Factor for Cell Death
Markus Ritter1,2,3,4,5, Nikolaus Bresgen6, Hubert H Kerschbaum6
1Center for Physiology, Pathophysiology and Biophysics, Institute for Physiology and Pathophysiology, Paracelsus Medical University, Salzburg, Austria.
Cell volume regulation is key to cell survival. Dysfunctional pinocytosis can lead to methuosis, a cell death pathway involving excessive fluid uptake and cell swelling, highlighting the importance of understanding ionic mechanisms.
Area of Science:
- Cell Biology
- Physiology
- Biochemistry
Background:
- Cell volume (CV) is regulated by osmoregulatory processes.
- Pinocytosis involves rapid fluid and membrane uptake, yet cells maintain stable volume.
- Cell death pathways alter CV, with apoptosis decreasing it and necrosis increasing it.
Purpose of the Study:
- To explore the ionic mechanisms underlying cell volume regulation (CVR) and vesicular volume regulation (VVR).
- To understand the non-apoptotic cell death pathway, methuosis, characterized by excessive fluid accumulation via macropinocytosis.
- To elucidate how disruptions in CVR and VVR contribute to methuosis.
Main Methods:
- Review of ion and water transport mechanisms in cell volume regulation.
- Analysis of vesicular trafficking and the changing composition of ion channels and transporters.
- Examination of the interplay between ions, membranes, phosphoinositides, G proteins, and the cytoskeleton.
Main Results:
- Methuosis results from dysfunctional macropinocytosis, where macropinosomes fail to recycle/fuse with lysosomes, instead forming giant vacuoles.
- These giant vacuoles lead to plasma membrane rupture and cell death.
- Changes in vesicular ion concentrations and acidification during trafficking are crucial for macropinosome processing and shrinkage.
Conclusions:
- Understanding the ionic basis of CVR and VVR is critical for comprehending methuosis.
- Derangements in cellular mechanisms involving ion transport, vesicular dynamics, and cytoskeletal interactions can trigger methuotic cell death.
- This review highlights key cellular components and processes implicated in methuosis.
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