The retinal rod Na/Ca-K exchanger (NCKX) is a unique calcium extrusion protein utilizing both inward sodium gradient and outward potassium gradient. Three mammalian rod NCKX cDNAs have been cloned to date, but quantitative analysis of NCKX function in heterologous systems has proven difficult. Here, we describe a simple system for quantitative analysis of NCKX function; stable transformation of cultured insect cells with the novel pEA1/153A vector containing NCKX cDNAs was combined with measurements of potassium-dependent 45 Ca uptake in sodium-loaded cells. We carried out structure-function studies on NCKX with the following results: 1) two-thirds of the full-length sequence of bovine NCKX could be deleted without affecting potassiumdependent calcium transport and without affecting key properties of the potassium binding site; 2) the affinity of NCKX for potassium was about 10-fold greater in choline medium when compared with lithium medium; this shift was observed in rod outer segments or in cells expressing full-length rod NCKX, the above deletion mutant, or a distantly related NCKX paralog cloned from Caenorhabditis elegans. We conclude that the potassium binding site is highly conserved among members of the NCKX family and is formed by residues located within the two sets of transmembrane spanning segments in the NCKX sequence.Calcium extrusion across the plasma membrane of cells is vital to all cells, in view of the ubiquitous role of calcium as second messenger and since sustained elevated calcium levels rapidly lead to cell death (1). Calcium extrusion against a large electrochemical calcium gradient is mediated by two classes of plasma membrane proteins, an ATP-driven calcium pump and Na/Ca exchangers. Two groups of plasma membrane Na/Ca exchangers can be distinguished: those that neither require nor transport potassium (the NCX family) and those that require and, in the case of the rod photoreceptor NCKX1, have been demonstrated to transport potassium (the NCKX family) (for recent reviews, see Refs. 2 and 3). To date, three NCKX1 cDNAs have been cloned from mammalian rod photoreceptors (4 -6) and one NCKX2 cDNA from rat brain (7). Furthermore, several potential NCKX paralogs present in lower organisms have been identified on the basis of analysis of sequences obtained from genomic sequencing projects (2, 8). Studies on functional properties of the "in situ" Na/Ca-K exchanger have been limited thus far to NCKX1 found in the plasma membrane of the outer segments of retinal rod photoreceptors (reviewed in Refs. 9 -11). Sequence comparison of the three mammalian NCKX1 orthologs cloned to date reveals a remarkably low sequence identity (ϳ65%) in contrast to sequence identities of Ͼ90% observed for other sodium-coupled transporters. We examined functional activity of heterologously expressed dolphin, bovine, and human NCKX1 in several cell systems and only observed consistent and robust functional expression with the dolphin NCKX1 cDNA (6). Comparing the mammalian rod NCKX1 sequences with the sequence fro...