Ϫ reabsorption (JHCO 3 ) and intracellular pH (pHi) in isolated perfused rabbit S2 proximal tubules exposed to three different basolateral (bath) solutions: 1) equilibrated 5% CO 2/22 mM HCO 3 Ϫ /pH 7.40, 2) an out-of-equilibrium (OOE) solution containing 5% CO 2/pH 7.40 but minimal HCO 3 Ϫ ("pure CO2"), and 3) an OOE solution containing 22 mM HCO 3 Ϫ /pH 7.40 but minimal CO2 ("pure HCO 3 Ϫ "). Tubule lumens were constantly perfused with equilibrated 5% CO 2/22 mM HCO 3 Ϫ . Compared with the equilibrated bath solution (J HCO 3 ϭ 76.5 Ϯ 7.7 pmol ⅐ min Ϫ1 ⅐ mm Ϫ1 , pHi ϭ 7.09 Ϯ 0.04), the pure CO 2 bath solution increased JHCO 3 by ϳ25% but decreased pH i by 0.19. In contrast, the pure HCO 3 Ϫ bath solution decreased JHCO 3 by 37% but increased pHi by 0.24. Our data are consistent with two competing hypotheses: 1) the isolated removal of basolateral HCO 3 Ϫ (or CO2) causes a pH i decrease (increase) that in turn raises (lowers) J HCO 3 ; and 2) HCO 3 Ϫ removal raises JHCO 3 by reducing inhibition of basolateral Na/HCO 3 cotransport and/or reducing HCO 3 Ϫ backleak, whereas CO2 removal lowers JHCO 3 by reducing stimulation of a CO 2 sensor. bicarbonate; carbon dioxide; intracellular pH; acid-base; volume reabsorption; out-of-equilibrium solutions THE KIDNEYS, ALONG WITH THE lungs, are one of the two major organ systems that regulate the acid-base balance of the extracellular fluid. A half-century ago, Brazeau and Gilman (6) as well as Dorman et al. (12) showed that acute respiratory acidosis (i.e., an increase in PCO 2 that causes a decrease in pH) raises renal HCO 3 Ϫ reabsorption in whole dogs. Both groups found that isohydric hypercapnia {i.e., a proportional increase in PCO 2 and HCO 3 Ϫ concentration ([HCO 3 Ϫ ]), with no change in pH} raises absolute HCO 3 Ϫ reabsorption to the same extent as a respiratory acidosis in which PCO 2 is elevated to the same degree. They concluded that an increase in CO 2 , and not the accompanying decrease in blood pH, is the stimulus that elevates HCO 3 Ϫ reabsorption. However, increasing plasma [HCO 3 Ϫ ] in isohydric hypercapnia also increased the filtered load of HCO 3 Ϫ and may have had other unintended effects as well. If one expresses HCO 3 Ϫ reabsorption as the fractional reabsorption of the filtered HCO 3 Ϫ load, the conclusions of the above studies are quite different: isohydric hypercapnia inhibits HCO 3 Ϫ reabsorption. PCO 2 also influences HCO 3 Ϫ reabsorption in the proximal tubule, which is responsible for reabsorbing ϳ80% of the filtered HCO 3 Ϫ . Cogan (11) found that acute respiratory alkalosis (lowering plasma PCO 2 by 20 mmHg) decreased HCO 3 Ϫ reabsorption (J HCO 3 ) by ϳ25% in free-flow micropuncture experiments in rats. Moreover, Sasaki et al. (23) found that although acute metabolic alkalosis (i.e., an increase in basolateral [HCO 3 Ϫ ] and pH with no change in PCO 2 ) inhibits HCO 3 Ϫ reabsorption, raising PCO 2 sufficiently to normalize basolateral pH (i.e., producing isohydric hypercapnia) reverses the inhibition. The above-mentioned studies clear...