The kidney medulla is exposed to very high interstitial osmolarity leading to the activation of mitogen-activated protein kinases (MAPK). However, the respective roles of increased intracellular osmolality and of cell shrinkage in MAPK activation are not known. Similarly, the participation of MAPK in the regulatory volume increase (RVI) following cell shrinkage remains to be investigated. In the rat medullary thick ascending limb of Henle (MTAL), extracellular hypertonicity produced by addition of NaCl or sucrose increased the phosphorylation level of extracellular signal-regulated kinase (ERK) and p38 kinase and to a lesser extent c-Jun NH 2 -terminal kinase with sucrose only. Both hypertonic solutions decreased the MTAL cellular volume in a doseand time-dependent manner. In contrast, hypertonic urea had no effect. The extent of MAPK activation was correlated with the extent of MTAL cellular volume decrease. Increasing intracellular osmolality without modifying cellular volume did not activate MAPK, whereas cell shrinkage without variation in osmolality activated both ERK and p38. In the presence of 600 mosmol/liter NaCl, the maximal cell shrinkage was observed after 10 min at 37°C and the MTAL cellular volume was reduced to 70% of its initial value. Then, RVI occurred and the cellular volume progressively recovered to reach about 90% of its initial value after 30 min. SB203580, a specific inhibitor of p38, almost completely inhibited the cellular volume recovery, whereas inhibition of ERK did not alter RVI. In conclusion, in rat MTAL: 1) cell shrinkage, but not intracellular hyperosmolality, triggers the activation of both ERK and p38 kinase in response to extracellular hypertonicity; and 2) RVI is dependent on p38 kinase activation.During diuresis and antidiuresis, the kidney medulla is exposed to large fluctuations of interstitial osmolarity (1), which challenge cell volume constancy. Cells of the medullary thick ascending limb of Henle (MTAL) 1 are of special interest, since they are the major contributor to the generation of the renal cortico-papillary osmotic gradient allowing urinary concentration in terrestrial animals. The first adaptive process occurring in response to extracellular hypertonicity-induced cell shrinkage is a regulatory cell volume increase (RVI). The RVI results from the stimulation of ion transporters which increase the intracellular ion content within minutes and partially restore the cellular volume from the initial cell shrinkage (2, 3). A second adaptive mechanism, in mammalian cells, is the induction of genes encoding proteins involved in the accumulation of intracellular "compatible osmolytes" within hours and days. These osmoprotective proteins are either enzymes, i.e. aldose reductase generating sorbitol from glucose, or organic osmolytes transporters, i.e. myo-inositol, taurine, glycerophosphocholine, and betaine (4). The intracellular signaling pathways mediating these adaptive mechanisms, especially the role of MAP kinases, are still incompletely understood. Mitogen-activ...