The effect of dexamethasone on cytosolic pH (pH c ) in resident mouse peritoneal macrophages was investigated using the fluorescent probe 2',7'-bis(carboxyethyl)-5(6)-carboxyfluorescein tetra-acetoxymethyl ester (BCECF-AM). Dexamethasone was found to significantly lower pH c and this reduction of pH c evolved gradually with time, was near maximal at 10 nM dexamethasone, and could be prevented by the glucocorticoid receptor antagonist RU-38486. The lower pH c of dexamethasone-treated cells was neither due to a reduction of cellular buffer capacity nor to an altered regulation of pH c by Na ؉ /H ؉ -exchange or by acidifying Na ؉ -independent Cl ؊ /HCO 3 ؊ exchange, as assessed by studies of pH recovery after acute acid and alkali loads, respectively. Instead, an impaired pH c recovery by both the H ؉ -ATPase and the alkalinizing Na ؉ -dependent Cl ؊ /HCO 3 ؊ exchange was observed. This impairment was most likely not caused by an altered expression or localization of the 39-kDa subunit of the proton pump. Dexamethasone treatment caused a reduction of pH c also in a HCO 3 ؊ -containing solution, suggesting that acid extrusion by both the H ؉ -ATPase and Na ؉ -dependent Cl ؊ /HCO 3 ؊ exchange is important for maintenance and regulation of macrophage resting pH c . The lowering of macrophage pH c might be one mechanism whereby glucocorticoids exert their anti-inflammatory effects. J. Leukoc. Biol. 67: 876-884; 2000.