Whole human blood is incubated for periods of ½ to 3 hours with K 42 at 37°C. At the close of this period, called pre-incubation, the plasma is removed from the cells and the cells, now become radioactive, are again incubated in a mixture of plasma and buffer for periods of up to 10 additional hours. The time course of the K 42 activity of the incubating medium is followed. Characteristically, after 2 hours of pre-incubation, the activity in the medium rises to a peak about 1 and ½ hours after resuspension, and then falls slowly until at 10 hours it is very close to its initial value at the beginning of the resuspension interval. This transient rise in K 42 activity in the medium is taken to indicate that the red cell does not consist of a single uniform K compartment, but contains at least two compartments. Thus one cellular compartment contains a reservoir of high specific activity K which provides the specific activity gradient necessary to drive the K 42 content of the medium to its transient peak. Experiments with Na indicate that its behavior in this respect is unlike that of K. The experimental data are matched to a simple model system which is capable of theoretical analysis with the aid of an analogue computer. The model system, whose characteristics agree fairly well with those observed experimentally on red cell suspensions, comprises two intracellular compartments, one containing 2.35 m.eq. K/liter blood, and the other 44.1 m.eq. K/liter blood. The plasma K content is 2.64 m.eq./liter blood. The flux between plasma and the smaller intracellular compartment is 0.65 m.eq. K/liter blood hour; that between the smaller and the larger intracellular compartment, 1.77 m.eq. K/liter blood hour; and that between the larger intracellular compartment and the plasma is 0.34 m.eq. K/liter blood hour.

The relative Na 24 specific activity of red cells and plasma was measured at periods up to 30 hours following a single intravenous injection of Na 24 in normal healthy young adults. The average specific activity of the red cells relative to that of the plasma at 24 hours and beyond was found to average 0.83 ± 0.05 in a series of five normal individuals, significantly different from 1.0. This indicates that all the intracellular Na is not exchangeable in 24 hours, and confirms earlier in vitro results. The red cell Na concentration in man was shown to be 12.1 ± 1.1 m.eq. Na/liter red cell, as measured in a series of nineteen normal healthy young adults. A theoretical analysis of the data on exchangeable cell Na suggests that the red cell Na (5.3 m.eq. Na/liter blood) is divided into a fast compartment comprising 4.25 m.eq. Na/liter blood, and a slow compartment comprising 1.07 m.eq. Na/liter blood. If these compartments are arranged in parallel, the flux between plasma and fast compartment is 1.32 m.eq. Na/liter blood hour, and that between plasma and slow compartment is 0.016 m.eq. Na/liter blood hour. Results of experiments on two patients with congenital hemolytic jaundice suggest that the fraction of slowly exchanging Na may increase with the age of the red cell.