The present study was undertaken to determine whether low density lipoprotein (LDL) modulates the cellular action ofarginine vasopressin (AVP) in rat glomerular mesangial cells in culture. AVP increased cellular free calcium ([Ca2"Ji) in a dose-dependent manner. When cells were preincubated for 24 h with 10 ttg/ml LDL, the 1 X 10-M AVP-mobilized [Ca2"Ji was 874 nM, a value significantly greater than that of 375 nM in the intact cells. AVP caused a biphasic change in cellular pH (pHi), namely, an early acidification followed by a sustained alkalinization, and the change in pHi produced by AVP was also enhanced by LDL. AVP stimulated a 2.2-fold increase in Clin. Invest. 1994. 93:2710-2717