The modulation of the calcium pump of human red cells by Na+ and K+

1. The sidedness of Ca²⁺-pump activation by Na⁺ and K⁺ was studied by atomic absorption spectrophotometry in human erythrocyte ghosts, which had been prepared in dextran solutions and resealed to alkali cations. 2. When ghosts were incubated in an all-choline medium, the increase in Na_i⁺ elicited an inhibitory-stimulatory effect on Ca²⁺ extrusion. By contrast, only a stimulatory action was induced when choline was replaced by Na₀⁺. 3. A dual effect on active Ca²⁺ efflux was also produced by increasing K_i⁺ or K₀⁺. The biphasic response to the latter, however, was absent from high-K⁺ ghosts. Furthermore, the stimulation obtained at high K₀⁺ was additive to that elicited by K_i⁺. 4. The results suggest that Na⁺ and K⁺ stimulate the Ca²⁺ pump of human red cells through two different mechanisms. The first one appears to be an electric coupling between Ca²⁺ efflux and the external activating cation. The other seems associated with the molecular reactions of the Ca²⁺-pump protein.