Properties of a transient current (I-cort) believed to reflect a confo
rmational change of the Na-Ca exchanger molecules after Ca2+ binding w
ere investigated. Intracellular Ca2+ concentration jumps in isolated c
ardiac myocytes were generated with flash photolysis of caged Ca2+ dim
ethoxynitrophenamine, and membrane currents were simultaneously measur
ed using the whole-cell variant of the patch-clamp technique. A previo
usly unresolved shallow voltage dependence of I-cort was revealed afte
r developing an experimental protocol designed to compensate for the p
hotoconsumption of the caged compound. This voltage dependence can be
interpreted to reflect the distribution of Na-Ca exchanger conformatio
nal states with the Ca2+ binding site exposed to the inside of the cel
l immediately before the flash. Analysis performed by fitting a Boltzm
ann distribution to the observed data suggests that under control cond
itions most exchanger molecules reside in states with the Ca2+ binding
site facing the outside of the cell. Dialysis of the cytosol with 3',
4'-dichlorobenzamil, an organic inhibitor of the Na-Ca exchange, incre
ased the magnitude of I-cort and changed the voltage dependence, consi
stent with a parallel shift of the charge/voltage curve. This shift ma
y result from intracellular DCB interfering with an Na+-binding or Na-translocating step. These observations are consistent with I-cort ari
sing from a charge movement mediated by the Na-Ca exchanger molecules
after binding of Ca2+.