To understand the increased morbidity and mortality associated with acute hyponatremia in young women, we characterized the Na+-K+-adenosinetriphosphtase (ATPase) pump in rat brain synaptosomes to determine if this adaptive mechanism was different between the sexes. Veratridine-stimulated sodium (Na+) uptake was significantly greater (P less than 0.001) in females than in males (8.08 +/- 0.3 vs. 5.56 +/- 0.4 nmol/mg protein), suggesting either an increased rate of Na+ uptake and/or decreased extrusion of Na+ by the Na+-K+-ATPase pump in females. Uptake rate was determined by measuring Na+ transport at 5 s, and it was found to be twice as large in females as in males (1.01 +/- 0.2 vs. 0.46 +/- 0.1 nmol/mg protein). However, in the presence of 2.5 mM ouabain, uptake in both groups were similar, suggesting that the difference was probably due to decreased function of the Na+-K+-ATPase pump in females. Transport evaluation of the Na+-K+-ATPase pump showed ouabain-sensitive K+ uptake in males to be significantly greater (P less than 0.001) than in females (10.53 vs. 4.97 nmol/mg protein), and ouabain-sensitive Na+ uptake in inverted synaptosomes was 70% greater in males (4.00 vs. 2.37 nmol/mg protein). [3H]ouabain binding studies showed maximum binding capacity in males and females to be similar (103 +/- 12 vs. 110 +/- 15 pmol/mg protein), whereas the dissociation constant was significantly (P less than 0.005) greater in males (109 +/- 8 vs. 82 +/- 6 nM).(ABSTRACT TRUNCATED AT 250 WORDS)