Streptococcusfaecalis, like other bacteria, accumulates potassium ions and expels sodium ions. This paper is concerned with the pathway of sodium extrusion. Earlier studies (D. L. Heefner and F. M. Harold, Proc. Natl. Acad. Sci. USA 79:2798-2802, 1982) showed that sodium extrusion is effected by a primary, ATP-linked sodium pump. I report here that cells grown under conditions in which sodium ATPase is not induced can still expel sodium ions. This finding suggested the existence of an alternate pathway. Sodium extrusion by the alternate pathway requires the cells to generate a proton motive force. This conclusion rests on the following observations. (i) Sodium extrusion required glucose. (ii) Sodium extrusion was observed at neutral pH, which allows the cells to generate a proton motive force, but not at alkaline pH, which reduces the proton motive force to zero. (iii) Sodium extrusion was inhibited by the addition of dicyclohexylcarbodiimide and of protonconducting ionophores. (iv) In response to an artificial pH gradient (with the exterior acid), energy-depleted cells exhibited a transient sodium extrusion which was unaffected by treatments that dissipated the membrane potential and which was blocked by proton conductors. I propose that streptococci have two independent systems for sodium extrusion: an inducible sodium ATPase and a constitutive sodium/proton antiporter.The significance of sodium circulation for the physiology of bacteria is well recognized (4,17,18,21). Growing bacterial cells extrude sodium ions actively and maintain a sodium concentration gradient directed inward. Sodium extrusion by bacteria is generally attributed to secondary antiport of sodium for protons, which is energized by the proton motive force (3,17,19). The sodium gradient serves as a driving force for transport systems catalyzing sodium/ substrate symport (18). In addition, sodium/proton antiporters are thought to be involved in the regulation of the cytoplasmic pH (17,20).From earlier studies of sodium extrusion by Streptococcus faecalis, Harold and his collaborators concluded that streptococci expel Na+ by means of an ATP-driven primary pump that exchanges sodium ions for protons (8)(9)(10). Heefner and Harold also demonstrated sodium/proton antiport activity in both cells and membrane vesicles, but they regarded this activity as an artifact arising from proteolytic damage to the ATPase (7, 9). They suggested that the ATPase is composed of two subunits, i.e., a Na+/H+ antiporter and an associated catalytic subunit. Damage to this modular pump could alter the association of the subunits, resulting in the appearance of sodium/proton antiport activity (7, 9, 10).Subsequent research on the sodium ATPase led me to question the view that S. faecalis has only a single system for sodium extrusion and that the Na+/H+ antiport activity arises by proteolytic damage to the sodium ATPase. In a study of potassium accumulation via the KtrII system of S. faecalis, Kakinuma and Harold found that the system responsible for potassium accumulat...