We report here the identification and characterization of a fourth member of the potassium-dependent sodium-calcium exchanger gene family, NCKX4 (gene SLC24A4), which mapped to the chromosomal region 14q32. Human NCKX4 encoded a protein of 605 amino acids that displayed a high level of sequence identity to previously described family members, rod NCKX1 (gene SLC24A1), cone/neuronal NCKX2 (gene SLC24A2), and ubiquitous NCKX3 (gene SLC24A3), in the hydrophobic regions surrounding the ␣-repeat sequences thought to form the ion-binding pocket used for transport. The protein product of the NCKX4 gene shared the highest level of amino acid identity, as well as an almost identical arrangement of exon boundaries, with NCKX3, indicating that these two genes have arisen from a recent duplication event. NCKX4 transcripts were abundantly expressed in all brain regions, aorta, lung, and thymus, as well as at a lower level in many other tissues. The NCKX4 protein demonstrated potassium-dependent sodium calcium exchanger activity when assayed in transfected HEK293 cells using digital imaging of fura-2 fluorescence. The discovery of NCKX4, as far as can be ascertained from the current version of the human genome sequence, completes the mammalian potassiumdependent sodium-calcium exchanger gene family.Sodium-calcium exchange is an important determinant of intracellular Ca 2ϩ control. Detailed structural and functional studies have revealed an exchanger gene superfamily comprising two arms: the potassium-independent sodium-calcium exchangers (NCX) 1 and potassium-dependent sodium-calcium exchangers (NCKX) (1-3). The protein products of these two family branches share sequence similarity in two internally homologous, hydrophobic, domains commonly referred to as the ␣-repeats (4). NCX proteins are thought to catalyze the extrusion of one intracellular Ca 2ϩ ion in exchange for three or four extracellular Na ϩ ions (1, 5, 6). On the other hand, NCKX proteins are thought to transport one intracellular Ca 2ϩ and one K ϩ ion in exchange for four extracellular Na ϩ ions (7-10). Three NCX genes (NCX1 (SLC8A1), NCX2 (SLC8A2), and NCX3 (SLC8A3)) whose protein products share a high degree of sequence identity, especially within the transmembrane spanning domains, have been cloned (11-13). NCX1 is widely distributed in many different mammalian tissues and cell types and is driven by three tissue-specific promoters (14 -17), whereas NCX2 and NCX3 are only expressed in brain and skeletal muscle (12, 13). The functional role of the NCX family is best exemplified by the much studied mammalian cardiac NCX1, which plays a crucial role in the relaxation process of heart muscle by extruding the Ca 2ϩ that enters at the beginning of systole. The physiological role(s) of NCX1 and of the other NCX family members in tissues other than the heart has recently attracted considerable attention (1).Three genes of the NCKX family have also been cloned. NCKX1 (SLC24A1) was initially characterized in retinal rod outer segments and first cloned from bovine retin...