The mammalian kidney plays an essential role in the control of systemic water, ion, and acid-base balance. Na ϩ /H ϩ exchanger type 3 (NHE3) plays a pivotal role in salt and fluid reabsorption in the proximal tubule (1), accounting for ϳ50% of NaCl and 70% of NaHCO 3 reabsorbed from the glomerular filtrate (2). In fact, mice deficient in NHE3 expression are relatively hypotensive, even when NHE3 in the intestine is rescued by transgenic expression (3).The renin-angiotensin system is critically involved in regulation of body blood pressure and fluid balance. The kidney secretes renin when blood pressure is low that stimulates the production of ANG 3 I, which is subsequently converted into ANG II by angiotensin-converting enzyme. The presence of ANG II receptor on the membrane of renal proximal tubules was first reported in the 1980s (4). Through the binding with its cognate receptor(s), ANG II is importantly involved in fluid reabsorption in the proximal tubules. Substantial earlier evidence from Cogan and co-workers (5-8) has demonstrated that ANG II is a potent agonist of H ϩ secretion and HCO 3 Ϫ absorption in rat proximal tubules through mechanisms dependent on decrease of cAMP, increase of [Ca 2ϩ ] i , and activation of protein kinase C (PKC). It was later shown that ANG II, at low concentrations, stimulates NHE3 activity in renal proximal tubule cells (9 -11). Studies have implicated the roles of PKC and c-Src in ANG II-mediated activation of NHE3 (9, 12). In addition, ANG II stimulates NHE3 activity through increased exocytotic insertion of NHE3 in a phosphatidylinositol 3-kinase (PI3K)-dependent manner (13). Nevertheless, the molecular mechanisms underlying NHE3 activation by ANG II remain incompletely delineated.IRBIT was initially identified as an IP 3 receptor-binding protein and was shown to be a competitive inhibitor of Ca 2ϩ release by IP 3 receptor (14,15). We have recently identified IRBIT as a novel NHE3-interacting protein by yeast two-hybrid screening of a kidney library (16). Our study demonstrated that IRBIT binds the C-terminal domain of NHE3 and activates NHE3 activity in response to thapsigargin or ionomycin-induced rise of [Ca 2ϩ ] i in PS120 fibroblast cells (16). IRBIT mRNA is ubiquitously present in all tissues, but the highest expression was reported in the brain, reproductive tissues, and kidney (14). These findings prompted us to hypothesize that IRBIT might play an important role in NHE3 regulation in the kidney. In this work, we investigated the role of IRBIT in the regulation of NHE3 by ANG II. Our findings show that IRBIT is critically involved in the activation of NHE3 by ANG II, and this regulation is Ca 2ϩ -CaMKII-dependent.