“…The counter-transport process is powered by the energy derived from the transmembrane sodium electrochemical gradient. Alterations in the gradient, either by reduction in the extracellular sodium content or by increasing the intracellular sodium via inhibition of the sodiumpotassium pump, have produced an increase in intracellular calcium, likely via this mechanism (Horackova & Vassort, 1979;Marban, Rink, Tsien & Tsien, 1980; Lee, Uhm & Dresdner, 1980b;Sheu & Fozzard, 1982;Chapman, Coray & McGuigan, 15 PHY 388 1983). It is clear, however, that the sodium-calcium exchanger is modulated by factors other than the sodium gradient per se, including membrane potential, pH and temperature (Reuter & Seitz, 1968;Deitmer & Ellis, 1980; Busselen, 1982;Phillipson, Bersohn & Nishimuta, 1982;Eisner & Lederer, 1985).…”