, it was not significantly affected by 1 M isoproterenol in guinea pig, mouse, or rat ventricular cells. We concluded that -adrenergic stimulation does not have significant effects on I NCX in guinea pig, mouse, or rat ventricular myocytes. cystic fibrosis transmembrane conductance regulator; nickel ion THE -ADRENERGIC RECEPTOR signaling cascade is a pivotal mechanism regulating cardiac contractility, and -adrenergic receptor agonists such as isoproterenol produce positive inotropy, together with increasing cytosolic Ca 2ϩ transient amplitude and rates of relaxation and intracellular Ca 2ϩ decline. Major mechanisms underlying this positive inotropic action are enhanced activities of the sarcolemmal L-type Ca 2ϩ channel, the sarcoplasmic reticulum Ca 2ϩ -ATPase, and the sarcoplasmic reticulum ryanodine receptor and a decreased myofilament Ca 2ϩ sensitivity (3). However, the question of whether -adrenergic receptor stimulation upregulates sarcolemmal Na ϩ / Ca 2ϩ exchange, which is the main Ca 2ϩ extrusion system of the cardiac myocyte, has proved controversial.Several groups have reported that the cardiac Na ϩ /Ca 2ϩ exchange protein is phosphorylated by PKA (16,26,27,30).The augmentation of exchange activity through the -adrenergic signaling pathway has also been reported. Linck et al. (19) found that Na ϩ -dependent Ca 2ϩ uptake of baby hamster kidney (BHK) cells expressing canine cardiac Na ϩ /Ca 2ϩ exchanger 1 (NCX1) was enhanced by 100 M forskolin, an activator of adenylate cyclase, by ϳ20%. In whole cell voltage-clamped guinea pig ventricular myocytes with other major currents inhibited, Perchenet et al. (25) and Zhang et al. (33) demonstrated that -adrenergic stimulation enhanced Na ϩ / Ca 2ϩ exchange current (I NCX ) by ϳ25-100%. Ruknudin et al. (26) found that PKA-activating reagents phosphorylated a cardiac isoform of the NCX expressed in Xenopus oocytes and increased both 45 Ca 2ϩ uptake (by ϳ40%) and outward I NCX (by Ͼ100%). They also observed PKA-dependent enhancement of Na ϩ -dependent 45 Ca 2ϩ uptake by ϳ40% in adult rat ventricular cardiomyocytes. Wei at al. (30) also reported that PKA phosphorylated the Na ϩ /Ca 2ϩ exchange protein and increased I NCX by ϳ500% in control and by ϳ100% in failing ventricular cells from pig heart, suggesting that cardiac Na ϩ / Ca 2ϩ exchange is hyperphosphorylated in heart failure. To the contrary, no stimulatory effect of -adrenergic receptor stimulation or PKA on exchange activity was detected in giant membrane patches excised from blebs of guinea pig ventricular cells (5), vesicle preparations of rat hearts (2), guinea pig ventricular cells (20), or BHK cells expressing the dog cardiac NCX1 (13).The aim of this study was to clarify the effect of -adrenergic stimulation on the native mammalian NCX. We measured I NCX in voltage-clamped ventricular myocytes isolated from guinea pig, mouse, and rat hearts and studied the effect of -adrenergic stimulation, with particular attention to the contribution of the PKA-activated Cl Ϫ current (CFTR-Cl Ϫ curren...