Energy-dependent efflux of K+ from heart mitochondria.

The efflux of ⁴²K+ from the matrix of isolated heart mitochondria under conditions of steady state K+ has the properties of an energy-linked $\text{K}\text{+}\text{K}\text{+}$ exchange reaction. Efflux requires respiration and external K+, is sensitive to uncouplers and to Mg+², and is markedly decreased by oxidative phosphorylation. Efflux is stimulated by Pi and by mersalyl, but declines under conditions which promote net uptake of K+ and acetate. Acetate strongly inhibits efflux in the presence of mersalyl. These data suggest that mitochondrial K+ levels are not maintained by a balance between inward K+ pumping and a passive outward leak, but rather that a nearly constant K+ pool results from a regulated interplay between an inward K+ uniport (responsive to membrane potential) and a $\text{K}\text{+}\text{H}\text{+}$ exchanger (responsive to the transmembrane pH gradient).