Article,

Multiple transport modes of the cardiac Na$^+$/Ca$^2+$ exchanger.

, and .
Nature, 427 (6974): 544--548 (February 2004)
DOI: 10.1038/nature02271

Abstract

The cardiac Na$^+$/Ca$^2+$ exchanger (NCX1; ref. 2) is a bi-directional Ca$^2+$ transporter that contributes to the electrical activity of the heart. When, and if, Ca$^2+$ is exported or imported depends on the Na$^+$/Ca$^2+$ exchange ratio. Whereas a ratio of 3:1 (Na$^+$:Ca$^2+$) has been indicated by Ca$^2+$ flux equilibrium studies, a ratio closer to 4:1 has been indicated by exchange current reversal potentials. Here we show, using an ion-selective electrode technique to quantify ion fluxes in giant patches, that ion flux ratios are approximately 3.2 for maximal transport in either direction. With Na$^+$ and Ca$^2+$ on both sides of the membrane, net current and Ca$^2+$ flux can reverse at different membrane potentials, and inward current can be generated in the absence of cytoplasmic Ca$^2+$, but not Na$^+$. We propose that NCX1 can transport not only 1 Ca$^2+$ or 3 Na$^+$ ions, but also 1 Ca$^2+$ with 1 Na$^+$ ion at a low rate. Therefore, in addition to the major 3:1 transport mode, import of 1 Na$^+$ with 1 Ca$^2+$ defines a Na$^+$-conducting mode that exports 1 Ca$^2+$, and an electroneutral Ca$^2+$ influx mode that exports 3 Na$^+$. The two minor transport modes can potentially determine resting free Ca$^2+$ and background inward current in heart.

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