During inhalational anesthesia, halogenated gases are in direct contact with the alveolar epithelium, in which they may affect transepithelial ion and fluid transport. The effects of halogenated gases in vivo on epithelial Na ϩ and K ϩ channels, which participate in alveolar liquid clearance, remain unclear. In the present study, the effects of halothane (1, 2, and 4% atm) on ion-channel function in cultured human alveolar cells were investigated using the patch-clamp technique. After exposure to 4% halothane, amiloride-sensitive whole-cell inward currents increased by 84 Ϯ 22%, whereas tetraethylammonium-sensitive outward currents decreased by 63 Ϯ 7%. These effects, which occurred within 30 s, remained for 30-min periods of exposure to the gas, were concentration-dependent, and were reversible upon washout. Pretreatment with amiloride prevented 90 Ϯ 7% of the increase in inward currents without change in outward currents, consistent with an activation of amiloride-sensitive epithelial sodium channels. Tetraethylammonium obliterated 90 Ϯ 9% of the effect of halothane on outward currents, without change in inward currents, indicating inhibition of Ca 2ϩ -activated K ϩ channels. These channels were identified in excised patches to be small-conductance Ca 2ϩ -activated K ϩ channels. These effects of halothane were not modified after the inhibition of cytosolic phospholipase A2 by aristolochic acid. Exposure of the cells to either trypsin or to low Na ϩ completely prevented the increase in amiloride-sensitive currents induced by halothane, suggesting a release of Na ϩ channels self-inhibition. Thus, halothane modifies differentially and independently Na ϩ and K ϩ permeabilities in human alveolar cells.Halogenated hydrocarbons are widely used in clinical practice to induce general anesthesia by mechanisms involving the modulation of ligand-and voltage-activated ion channels (Franks and Lieb, 1994;Franks and Honore, 2004). However, their effects on ion transporters are not limited to neural cells (Pancrazio et al., 1993;Juvin et al., 1999;Patel et al., 1999;Chen et al., 2002;Huneke et al., 2004). During inhalational anesthesia, the alveolar epithelium is directly exposed to halogenated gases. Pulmonary alveoli are layered with type I and type II epithelial cells. Type II alveolar cells play a major role in the maintenance of the structural and functional integrity of the alveolar space. They synthesize surfactant and create an osmotic gradient for liquid absorption by transporting Na ϩ actively from the alveolar space into the interstitium through apical Na ϩ channels (ENaC) and basolateral Na ϩ -K ϩ -ATPases (Matthay et al., 1996). K ϩ channels, which are present in alveolar cells, are also involved in alveolar fluid absorption (O'Grady and Lee, 2003;Leroy et al., 2004). In animal models, the effects of halogenated anesthetics are species-dependent. In normal rats, halothane and isoflurane induce a reversible decrease in alveolar fluid clearance (Rezaiguia-Delclaux et al., 1998), and in rat type II pneumocyt...