The role of Ca2" and calmodulin in regulating coupled NaCl transport has been investigated in membrane vesicles from rabbit ileal brush border. Uptake of 'Na' and 'Clwas determined by a rapid filtration technique in vesicles isolated with a sucrose density gradient ultracentrifugation method. Ca2+ on the inside of the vesicle inhibited Na' uptake when ClP was the anion and Cl-uptake when Na+ was the cation by =30%. Ca2+ on the outside had no effect. When gluconate was the anion or when choline was the cation, Na+ or C1-uptake was reduced by only 9-12%. A similar inhibition of D-[3H]mannitol uptake (10-17%) suggests this was due to a nonspecific decrease in the membrane permeability. Other cations such as Ba2+ and Mg2+ had no effect, but La3+ inhibited Na+ and Cl-uptake to the same degree as Ca2 . Calmodulin (2 pM) in combination with Ca2+ (1 ,uM, free concentration) significantly inhibited Na+ uptake when Cl-was the anion by 21-32% and C1-uptake when Na' was the cation by 20-27%. This effect was completely reversed by 10 IAM trifluoperazine. When gluconate was the anion or when choline was the cation, Na+ or Cl-uptake was unaffected by Ca2+/calmodulin and trifluoperazine. The 14 for Ca2+ inhibition of Cl--coupled Na+ uptake was reduced from 200 pAM to 0.2 pAM by incubation with 20 pM calmodulin. The 1; for exogenously added calmodulin studied at 1 ,uM Ca2+ was 0.2 pmM. The K, for trifluoperazine inhibition of the Ca2+/calmodulin response was 3 ,uM. These results represent compelling evidence for intracellular Ca2+/calmodulin regulation of coupled NaCl transport across the intestinal microvillus membrane. The exact mechanism of this regulation remains to be delineated.Recent in vitro studies of intestine indicate a role for intracellular calcium in the regulation of basal and stimulated active electrolyte transport. Alterations in serosal solution Ca2' concentration change Na+ and Cl-fluxes in a fashion that cannot be ascribed to modifications of epithelial passive permeability (1-4). Calcium deprivation increases Na+ and Cl-absorption, whereas high Ca2' concentrations inhibit Na+ and Cl-absorption, cause Cl-secretion, or both. The effect of Ca2" deprivation is reproduced by the Ca2"-channel blocker verapamil (1). Furthermore, NaCl absorption is inhibited or Cl-secretion is stimulated by the Ca2" ionophore A23187 (3, 4), by serotonin (5), and by carbamoylcholine (3) only if Ca2+ is present in the serosal solution. The serotonin effect is also prevented by verapamil (5).Calmodulin may be necessary for Ca2+-regulated transport. This protein has been identified in the intestinal microvillus, where it is primarily associated with the microfilament core (6, 7). Indirect evidence for calmodulin-mediated transport comes from inhibition of electrolyte secretion by trifluoperazine (TFP) (8,9). However, the concentration of TFP necessary in whole gut for such an effect (100-500 ,tM) is far above that reported for other Ca2+/calmodulin-dependent processes (10, 11).The mechanism of calcium's effect is not known, but...