The slc4a10 gene encodes an electroneutral Na ؉ -dependent HCO 3 ؊ importer for which the precise mode of action remains unsettled. Tight control of intracellular pH (pH i ) 2 is crucial for maintaining a variety of basic cellular functions (1). Regulation of pH i largely depends on acute intracellular buffering and longer term extrusion or import of acid/base equivalents. Integral plasma membrane proteins such as the Na ϩ -dependent HCO 3 Ϫ transporters from the solute carrier gene family 4 (slc4a) mediate these functions. The slc4a10-gene product is primarily expressed in the central nervous system and is important for normal brain function (2-4). In the choroid plexus, the slc4a10 gene product is a main basolateral Na ϩ loader and is most likely necessary for secretion of cerebrospinal fluid because disruption of the slc4a10 in mice leads to decreased brain ventricle sizes (4). In humans, a mutation in the SLC4A10 promoter region resulted in severe complex partial epilepsy and mental retardation (5).Within the gene family, slc4a10 shares the highest amino acid homology with the electroneutral Na ϩ :HCO 3 Ϫ cotransporter Nbcn1 (slc4a7) and the Na ϩ -dependent Cl Ϫ /HCO 3 Ϫ exchanger, Ndcbe (slc4a8). The transport mode of the slc4a10 gene product has been investigated by more research groups defining the protein as an electroneutral Na ϩ and HCO 3 Ϫ -dependent transporter which is inhibited by 4,4Ј-diisothiocyanatostilbene-2,2Ј-disulfonate (DIDS) (2, 6, 7). The studies, however, differ in opinion regarding the involvement of Cl Ϫ in the transport process. Thus, the human SLC4A10 gene product, first designated with the abbreviation Ncbe for Na ϩ -dependent Cl Ϫ /HCO 3 Ϫ exchanger (2), was recently suggested renamed as Nbcn2 for electroneutral Na ϩ :HCO 3 Ϫ cotransporter 2, displaying Cl Ϫ /Cl Ϫ self-exchange instead of Cl Ϫ /HCO 3 Ϫ exchange activity (7). The knowledge on the primary structure of the slc4a10-derived protein is not sufficient to suggest which parts of the transmembrane region are involved in ion translocation and can, thus, not help predict the mode of action for this Na ϩ -dependent HCO 3 Ϫ transporter. More structure-function data are available on the anion exchanger Ae1 (slc4a1), which seems to present two hinge-like loops within the transmembrane region with access to both the extra-and intracellular environment (8). These loops were proposed to be involved in attraction and perhaps even translocation of ions by Ae1.In this investigation, we aimed to define the transport mode of the slc4a10 gene product by analyzing the targeted ionic and structural requirements for transport by the protein. The study was conducted on mammalian NIH-3T3 fibroblasts devoid of endogenous Na ϩ -dependent HCO 3 Ϫ transport stably transfected with single copies of the coding region of rodent slc4a10. We found three lines of evidence for the functional involvement of Cl Ϫ in transport by the slc4a10-derived protein: (i) the Na ϩ :HCO 3 Ϫ stoichiometry was estimated to 1:2; (ii) Na ϩ -dependent pH i regulation was de...