Recent studies have shown that accessory proteins that interact with the apical Na ϩ /H ϩ exchanger NHE3 are a vital part of the dynamic nature of the Na ϩ /H ϩ exchanger regulation. We have identified MAST205, a microtubule-associated serine/threonine kinase with a molecular mass of 205 kDa that interacts with NHE3. MAST205 contains a S/T kinase domain and a PDZ domain that mediates interaction with NHE3. Northern blot analysis showed that MAST205 is highly expressed in human and rat kidney. Expression in opossum kidney (OK) cells showed that MAST205 is predominantly expressed in the apical membrane of the cells. Immunohistochemical studies demonstrated the presence of MAST205 at the apical region of the renal proximal tubules. Heterologous expression of MAST205 in OK cells inhibited endogenous NHE3 activity, and this inhibition required the presence of the kinase domain of MAST205, since deletion of the kinase domain or a dominant-negative mutant of MAST205 did not affect the activity of NHE3. Consistent with these results, we found that MAST205 phosphorylated NHE3 under in vitro conditions. However, overexpression of MAST205 did not affect expression of NHE3 proteins, suggesting that the effect of MAST205 was not mediated by a decrease in NHE3 expression. These findings suggest that MAST205 regulates NHE3 activity and, although the precise mechanism is yet to be determined, MAST205 appears to inhibit NHE3 activity through a phosphorylation-dependent mechanism. sodium/hydrogen exchange; kinase THE MAMMALIAN PROXIMAL TUBULES reabsorb the majority of the filtered NaCl and HCO 3 Ϫ (19, 20). The Na ϩ /H ϩ exchanger NHE3 localized in the brush-border membrane of the renal proximal tubule is the key protein that mediates transcellular reabsorption of Na ϩ and HCO 3 Ϫ in the kidney. A wide range of stimuli have been identified as regulators of NHE3, including endothelin, dopamine, and parathyroid hormone (20). In recent years, a number of studies identified accessory proteins that interact with NHE3 to either directly or indirectly regulate the activity of NHE3. These include Na ϩ /H ϩ exchanger regulatory factors, NHERF1 and NHERF2, the scavenger receptor megalin, dipeptidyl peptidase IV, and calcinurin homologous protein (4,8,9,24,36). In addition, pharmacological disruption of actin cytoskeleton severely inhibits Na ϩ /H ϩ exchange activity, implying dynamic interaction of NHE3 with the actin cytoskeleton (26).There has been much interest in the regulation of transport proteins and membrane receptors by the proteins containing one or more PDZ (PSD-95/Dlg/ZO-1) domains. The PDZ domain-containing proteins play important regulatory roles, including ion transport, recycling of membrane proteins, targeting of proteins to the surface membrane, receptor-mediated signaling, and maintenance of the epithelial cell barrier (6,10,18,27,34). Previous studies have shown that NHERF1 and NHERF2 regulate NHE3 activity by PDZ-mediated interaction that assembles multiple signaling proteins (13,34,35). The genetic deletion of NHERF1 ...