Pneumocystis carinii is an opportunistic fungus which causes interstitial pneumonia in patients with acquired immunodeficiency syndrome (AIDS). Cytoplasmic pH (pH(i)) regulation in short-term-cultured P. carinii trophozoites was studied using the fluorescent dye 2',7'-bis-(2-carboxyethyl)-5-(-6)-carboxy-fluorescein. With an extracellular pH of 7.4, the mean baseline pH(i) of P. carinii trophozoites was 7.40 +/- 0.10 (n = 8). This steady-state pH(i) was not significantly affected in the absence of extracellular Na+ or K+. Moreover, steady-state pH(i) was maintained in the nominal absence of HCO3- and was not affected by the Cl-/HCO3--exchanger inhibitor 4,4'-di-isothiocyanatodihydrostilbene-2,2'-disulphonic acid (100 mu M), or the Na+/H+-exchanger inhibitor N-ethyl-N-isopropylamiloride (100 mu M). In contrast, the general inhibitors of ATPases, N-ethylmaleimide (1 mM), and dicyclohexylcarbodi-imide (100 mu M), and the inhibitor of yeast H+-ATPase, diethylstilbestrol (12.5-100 mu M), decreased pH(i), while the K+/H+-ATPase inhibitor omeprazole (50-400 mu M), and the vacuolar-type H+-ATPase inhibitor bafilomycin A(1) (1-5 mu M) only produced a dose-dependent acidification of the cells when used at high concentrations. In addition, steady-state pH(i) depended on the availability of cellular ATP, since it was decreased by the ATP synthase inhibitors oligomycin (1 mu g/ml) and sodium azide (1 mM), and by the uncoupler of oxidative phosphorylation carbonyl cyanide p-trifluorophenyl-hydrazone (1 mu M), agents that were able to deplete significantly the intracellular ATP levels. Taken together, these results are consistent with an important role of an H+-ATPase similar to those found in other fungi in the regulation of pH(i) homoeostasis in P. carinii trophozoites.