SEA0400 (SEA) blocks cardiac and neuronal Na ϩ -Ca 2ϩ exchange with the highest affinity of any known inhibitor, yet very little is known about its molecular mechanism of action. Previous data from our lab suggested that SEA stabilizes or modulates the transition of NCX1.1 exchangers into a Na ϩ i -dependent (I 1 ) inactive state. To test this hypothesis, we examined the effects of SEA on mutant exchangers with altered ionic regulatory properties. With mutants where Na ϩ i -dependent inactivation is absent, the effects of SEA were greatly reduced. Conversely, with mutants displaying accelerated Na ϩ i -dependent inactivation, block of NCX1.1 by SEA was either enhanced or unchanged, depending upon the phenotype of the particular mutation. With mutant exchangers where Ca 2ϩ i -dependent (I 2 ) inactivation was suppressed, block of exchange currents by SEA was similar to that observed for wild-type NCX1