Sodium calcium exchangers are antiporters that utilize energy stored in the transmembrane sodium gradient to facilitate the exchange of sodium ions for ionic calcium. The sodium calcium exchanger family is comprised of three subgroups, which differ in their stoichiometry. The three subgroups are: Na+/Ca2+ exchangers (NCX), Na+/Ca2+/K+ exchangers (NCKX) and Na+, Li+/Ca2+, exchangers (CCX). In mammals there is a single CCX, which has been shown to function at the mitochondrion, and is an important regulator of neuronal physiology where it contributes to neurotransmission and synaptic plasticity. In Caenorhabditis elegans there are five CCX exchangers, and here we describe a novel role for one of these CCX proteins, NCX-9, in neural circuit patterning. Our research focuses on the VD and DD GABAergic motor neuron circuit and the DA and DB cholinergic motor neuron circuit in C. elegans. Together, these circuits facilitate a sinusoidal locomotion pattern in C. elegans. Our data reveal that
ncx-9-/- mutant animals exhibit defective left/right patterning within the VD and DD neural circuit during development, and also provide data implicating NCX-9 in a RAC dependent signaling pathway to set left/right patterning. Finally, we also provide in vitro evidence supporting the role for NCX-9 in handling calcium exchange at the mitochondrion. These data provide the first description of Na+/Ca2+ exchange in circuit function in C. elegans, and also provide the first description of a signaling framework for left/right patterning within the VD and DD GABAergic motor neuron circuit in C. elegans. Taken together our work reveals the specificity by which NCLX can map to circuit assembly.