Renal type IIa Na ؉ -coupled inorganic phosphate (Pi) cotransporters (NaPi-IIa) mediate divalent P i transport in an electrogenic manner, whereas the renal type IIc isoform (NaPi-IIc) is electroneutral, yet it shows high sequence identity with NaPi-IIa. Dual uptake ( 32 Pi͞ 22 Na) assays confirmed that NaPi-IIc displayed Na ؉ -coupled Pi cotransport with a 2:1 (Na ؉ :Pi) stoichiometry compared with 3:1 established for NaPi-IIa. This finding suggested that the electrogenicity of NaPi-IIa arises from the interaction of an additional Na ؉ ion compared with NaPi-IIc. To identify the molecular elements responsible for the functional difference between isoforms, we used chimera and amino acid replacement approaches. Transport activity of chimeras constructed with NaPi-IIa and NaPi-IIc indicated that residues within the first six transmembrane domains were essential for the electrogenicity of NaPi-IIa. Sequence comparison between electrogenic and electroneutral isoforms revealed differences in the charge and polarity of residues clustered in three areas, one of which included part of the predicted third transmembrane domain. Here, substitution of three residues with their NaPi-IIa equivalents in NaPi-IIc (S189A, S191A, and G195D) resulted in a transporter that displayed a 1:1 charge͞P i coupling, a 3:1 Na ؉ :Pi stoichiometry, and transient currents that resembled pre-steadystate relaxations. The mutant's weaker voltage dependency and 10-fold lower apparent P i affinity compared with NaPi-IIa indicated that other residues important for the NaPi-IIa kinetic fingerprint exist. Our findings demonstrate that, through a minimal number of side chain substitutions, we can effect a switch from electroneutral to electrogenic cotransporter function, concomitant with the appearance of a cosubstrate interaction site.S econdary-active transporter proteins mediate uphill transport of a solute by tapping into the free energy provided by the concentration gradient of a coupled ion that is specific to the transporter protein (e.g., H ϩ , K ϩ , or Na ϩ ). The coupling between driving and driven species confers a strict stoichiometric ratio on cotransport function. When stoichiometrically coupled movement of net charge accompanies cotransport, an additional driving force is available, derived from the free energy established by the transmembrane electric field. For such electrogenic cotransporters, it follows that membrane voltage also becomes a kinetic determinant of the transport mechanism; moreover, under physiological conditions, it can serve to enhance the concentrating ability of the transport protein.One of the many physiologically important transport processes that rely on a secondary active mechanism is reabsorption of inorganic phosphate (P i ) in the renal proximal tubule. Two isoforms of type II Na ϩ -coupled P i cotransporters (NaPi-II), both localized at the proximal tubule apical brush border membrane, have been identified. Both cotransporters mediate inward transport of P i by using the inwardly directed Na ϩ gradient (1, ...