To study the influence of oxidative stress on energy metabolism and lipid peroxidation in erythrocytes, cells were incubated with increasing concentrations (0.5±10 mm) of hydrogen peroxide for 1 h at 37 8C and the main substances of energy metabolism (ATP, AMP, GTP and IMP) and one index of lipid peroxidation (malondialdehyde) were determined by HPLC on cell extracts. Using the same incubation conditions, the activity of AMP-deaminase was also determined. Under nonhaemolysing conditions (at up to 4 mm H 2 O 2 ), oxidative stress produced, starting from 1 mm H 2 O 2 , progressive ATP depletion and a net decrease in the intracellular sum of adenine nucleotides (ATP + ADP + AMP), which were not paralleled by AMP formation. Concomitantly, the IMP level increased by up to 20-fold with respect to the value determined in control erythrocytes, when cells were challenged with the highest nonhaemolysing H 2 O 2 concentration (4 mm). Efflux of inosine, hypoxanthine, xanthine and uric acid towards the extracellular medium was observed. The metabolic imbalance of erythrocytes following oxidative stress was due to a dramatic and unexpected activation of AMPdeaminase (a twofold increase of activity with respect to controls) that was already evident at the lowest dose of H 2 O 2 used; this enzymatic activity increased with increasing H 2 O 2 in the medium, and reached its maximum at 4 mm H 2 O 2 -treated erythrocytes (10-fold higher activity than controls). Generation of malondialdehyde was strictly related to the dose of H 2 O 2 , being detectable at the lowest H 2 O 2 concentration and increasing without appreciable haemolysis up to 4 mm H 2 O 2 . Besides demonstrating a close relationship between lipid peroxidation and haemolysis, these data suggest that glycolytic enzymes are moderately affected by oxygen radical action and strongly indicate, in the change of AMP-deaminase activity, a highly sensitive enzymatic site responsible for a profound modification of erythrocyte energy metabolism during oxidative stress.Keywords: AMP-deaminase; energy metabolism; human erythrocytes; IMP; oxidative stress.Reactive oxygen species (ROS) are produced in living organisms from the partial reduction of molecular oxygen under physiological and pathological conditions. Because ROS has the capability of reacting nonspecifically with a vast number of compounds, all living organisms contain several enzymatic (superoxide dismutase, catalase, glutathione peroxidase) and nonenzymatic (a-tocopherol, ascorbic and uric acids, glutathione and other thiol protein groups) antioxidants with the specific purpose of protecting the functional and structural integrity of biologically fundamental macromolecules (nucleic acids, proteins, phospholipids). Imbalance between ROS production and antioxidant cell defences has been reported to occur in several physiopathological conditions of both animals and man: for example tissue ischemia and reperfusion Many in vitro and in vivo studies showed that several parameters of red blood cell function and integrity are ne...