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Cytosol dialysis is exchange between the cytosol and pipette solution through the opening used in conventional whole-cell recording. Diffusion can change ion concentrations and dilute soluble regulators of ion channels. A diminishing response can therefore reflect the recording's alteration of the biological cell, rather than the experimental treatment.

A direct motivating example is the 1988 article Muscarinic activation of ionic currents measured by a new whole-cell recording method. In rat lacrimal gland biological cells, the acetylcholine response in conventional whole-cell recording lasted about five minutes. With a pore-forming substance in the patch pipette instead of open break-in, the response remained undiminished after one hour. The readout was activation of calcium-activated potassium and ${\mathrm{Cl}}^{-}$ ion electric currents; preserving the response supported a role for retained cytoplasmic components. The authors also tested the substance extracellularly and observed reversible increases in cation electrical conductance. This comparison motivates perforated patch recording, but does not show that every intracellular constituent or every ion channel response is preserved. ^[ref]

Practical controls are matched pipette and bath compositions, recording elapsed time after break-in, time-matched untreated preparations, and tracking both patch-clamp series resistance and baseline leakage. Comparing conventional whole-cell recording with perforated patch recording can separate loss of soluble components from an intended treatment effect, but only if electrical access is characterized in both. These are controls suggested by the mechanisms above, not a new set of measured results.