The properties of the vestibular Na+-Ca2+ exchanger in mammalian type I ves
tibular sensory cells were studied using fura-2 fluorescence and immunocyto
chemical techniques. In the absence of external Na+, the activation of Na+-
Ca2+ exchange in reverse mode required the presence of external K+ (K-o(+))
and depended on K-o(+) concentration. Alkali cations Rb+ and NH4+ but not
Li+ or Cs+ substituted for K-o(+) to activate the exchange. For pressure ap
plications of 10 mM K-o(+) the contribution of voltage-sensitive calcium ch
annels to the increase in [Ca2+](i) was <15%. The dependence of the exchang
e on [K+](o) was also recorded when the membrane potential was clamped usin
g carbonyl cyanide p-trifluoromethoxy-phenylhydrazone (FCCP) and monensin i
onophores. In these conditions, where there was no intracellular Na+, the i
ncrease in [Ca2+](i) was completely blocked, These physiological results su
ggest that in reverse mode, Ca2+ entry is driven by both an outward transpo
rt of Na+ acid an inward transport of K+, The dependence of the vestibular
Na+-Ca2+ exchanger on K+ is more reminiscent of the properties of the retin
al type Na+-Ca2+ exchanger than those of the more widely distributed cardia
c type exchanger. Moreover, the immunocytochemical localization of both typ
es of exchange proteins in the vestibular sensory epithelium confirmed the
presence in the vestibular sensory cells of a Na+-Ca2+ exchanger which is r
ecognized by an antibody raised against retinal type and not by an antibody
raised against the cardiac type.