Previous functional studies have demonstrated that muscle intracellular pH regulation is mediated by sodium-coupled bicarbonate transport, Na ؉ /H ؉ exchange, and Cl ؊ /bicarbonate exchange. We report the cloning, sequence analysis, tissue distribution, genomic organization, and functional analysis of a new member of the sodium bicarbonate cotransporter (NBC) family, NBC3, from human skeletal muscle. mNBC3 encodes a 1214-residue polypeptide with 12 putative membrane-spanning domains. The ϳ 7.8-kilobase transcript is expressed uniquely in skeletal muscle and heart. The NBC3 gene (SLC4A7) spans ϳ80 kb and is composed of 25 coding exons and 24 introns that are flanked by typical splice donor and acceptor sequences. Expression of mNBC3 cRNA in Xenopus laevis oocytes demonstrated that the protein encodes a novel stilbene-insensitive 5-(N-ethyl-N-isopropyl)-amiloride-inhibitable sodium bicarbonate cotransporter.Intracellular pH regulatory mechanisms are critically important for the maintenance of many cellular processes in skeletal muscle, smooth muscle, and myocardial cells (1-8). In muscle cells, contractile processes, metabolic reactions, and membrane transport processes are influenced by pH. Importantly, during periods of increased energy demands and ischemia, muscle cells produce large amounts of lactic acid (3). In these circumstances, intracellular pH (pH i ) 1 regulatory processes prevent the acidification of the sarcoplasm due to lactic acid accumulation.Several different transport mechanisms have been described in muscle cells, which maintain a relatively constant intracellular pH during changes in metabolic proton production or an elevation in ambient CO 2 . The relative contribution of each process varies with cell type, the metabolic requirements of the cell, and local environmental conditions. Intracellular pH regulatory processes that have been characterized functionally in skeletal, smooth muscle, and cardiac cells include: Na ϩ /H ϩ exchange (1-3, 9