Measurements of voltage changes in response to charge separation within membrane proteins can offer fundamental information on spectroscopically "invisible" steps. For example, results from studies of voltage changes associated with electron and proton transfer in cytochrome c oxidase could, in principle, be used to discriminate between different theoretical models describing the molecular mechanism of proton pumping. Earlier analyses of data from these measurements have been based on macroscopic considerations that may not allow for exploring the actual molecular mechanisms. Here, we have used a coarse-grained model describing the relation between observed voltage changes and specific charge-transfer reactions, which includes an explicit description of the membrane, the electrolytes, and the electrodes. The results from these calculations offer mechanistic insights at the molecular level. Our main conclusion is that previously assumed mechanistic evidence that was based on electrogenic measurements is not unique. However, the ability of our calculations to obtain reliable voltage changes means that we have a tool that can be used to describe a wide range of electrogenic charge transfers in channels and transporters, by combining voltage measurements with other experiments and simulations to analyze new mechanistic proposals.electrogenicity | membrane potential | proton transfer | electron transfer C ytochrome c oxidase (CcO) couples the four-electron reduction of O 2 to water, where the released free energy is used to pump protons from the negative (N) to the positive (P) side of the membrane (1-5), leading to an electrochemical proton gradient that drives, for example, ATP synthesis. The elucidation of the structure of CcO (6-12), combined with experimental and theoretical studies (e.g., refs. 3, 13-15), has advanced the understanding of this intriguing system. Progress has been made in defining the conditions that would allow CcO to pump protons against a pH gradient (4, 16), in estimating the electrostatic energy of possible intermediates (17-21), in evaluating the energetics of the key water chains (22,23), and of a number of specific proton-transfer (PT) reactions (16). Furthermore, examination of the energetics of the overall pumping process has been performed by using a semimacroscopic model (16).However, the relationship between protein structure, the PT energetics, and detailed PT trajectories has not been established. Furthermore, to our knowledge, a consistent protonpumping mechanism purely based on structural information and thermodynamic considerations has not been presented. For example, we still cannot identity the primary acceptor for pumped protons, although the D propionate of heme a 3 (Prda3 in Fig. 1) is one of the most likely candidates for being at least a "transient" acceptor. Apparently, there has been some progress in using structures in functional analyses (e.g., refs. 16, 24-26). However, we still do not have a consistent model that correctly reproduces the pumping events, while prev...