Recently [Roepe, P. D. (1992) Biochemistry 31, 12555-12564], increased steady-state levels of chemotherapeutic drug efflux from multidrug-resistant (MDR) myeloma cells were correlated with intracellular alkalinization. To better understand elevated pH(i) in MDR cells, Na+- and Cl--dependent recovery of pH(i) upon intracellular acid or alkaline shock has been examined for this same series of MDR cell lines. In agreement with another recent report [Boscoboinik, D., Gupta, R. S., & Epand, R. M. (1990) Br. J. Cancer 61, 568-572], we find that the rate of Na+-induced alkalinization after an intracellular acid shock is increased in the MDR cells, relative to the drug-sensitive parent. Interestingly, we also now find that mRNA encoding the human Na+/H+ exchanger (NHE) is overexpressed in these MDR cells, but the level of overexpression does not correlate with the relative drug resistance or steady-state pH(i). It is also found that the efficiency of Cl--dependent reacidification of pH(i) after an intracellular alkaline shock is reduced in the MDR cells. This effect appears to correlate with the relative expression of MDR protein, but not the relative expression of Cl-/HCO3- exchanger (AE), which we now find is also altered in the series of cells. Since elevated pH(i) will increase DELTApH across the plasma membrane, we have also measured the electrical potential for these cells using three different methods. Most interestingly, the magnitude of the plasma membrane electrical potential (DELTAPSI) decreases concomitant with increased expression of the MDR protein. Energy provided by increased DELTApH compensates for the lowered DELTApsi such that the total electrochemical membrane potential (DELTAmu(H+)) remains similar among the cells in this series (DELTAmu(H+) = DELTAPSI - ZDELTApH). These data, along with other recent experiments that associated an increased Cl- conductance with the expression of MDR protein [Valverde, M., Diaz, M., Sepulveda, F. V., Gill, D. R., Hyde, S. C., & Higgins, C. F. (1992) Nature 355, 830-833], are consistent with a model for MDR protein-mediated multidrug resistance that does not entail direct active transport of lipophilic drugs by the MDR protein.