Na-Ca exchange proteins are involved in Ca homeostasis in a wide varie
ty of tissues. Unique Na-Ca exchangers have been identified by molecul
ar biological approaches and it appears that these may represent a sup
erfamily of ion transporters, similar to that identified for ion chann
els. Major advances in our understanding of these transporters have oc
curred in the past decade by combining molecular approaches with elect
rophysiological analyses. The regulatory and transport properties of N
a-Ca exchangers are beginning to become understood in molecular detail
. It also appears that the physiological roles of Na-Ca exchange may b
e quite complex. This brief review highlights some recent advances in
Na-Ca exchange research obtained through the combination of molecular
biological and electrophysiological approaches.