The spectrin membrane skeleton controls the disposition of selected membrane channels, receptors, and transporters. In the brain βIII spectrin binds directly to the excitatory amino acid transporter (EAAT4), the glutamate receptor delta, and other proteins. Mutations in βIII spectrin link strongly to human spinocerebellar ataxia type 5 (SCA5), correlating with alterations in EAAT4. We have explored the mechanistic basis of this phenotype by targeted gene disruption of Spnb3. Mice lacking intact βIII spectrin develop normally. By 6 months they display a mild nonprogressive ataxia. By 1 year most Spnb3 −/− animals develop a myoclonic seizure disorder with significant reductions of EAAT4, EAAT1, GluRδ, IP3R, and NCAM140. Other synaptic proteins are normal. The cerebellum displays increased dark Purkinje cells (PC), a thin molecular layer, fewer synapses, a loss of dendritic spines, and a 2-fold expansion of the PC dendrite diameter. Membrane and expanded Golgi profiles fill the PC dendrite and soma, and both regions accumulate EAAT4. Correlating with the seizure disorder are enhanced hippocampal levels of neuropeptide Y and EAAT3 and increased calpain proteolysis of αII spectrin. It appears that βIII spectrin disruption impairs synaptogenesis by disturbing the intracellular pathways selectively regulating protein trafficking to the synapse. The mislocalization of these proteins secondarily disrupts glutamate transport dynamics, leading to seizures, neuronal damage, and compensatory changes in EAAT3 and neuropeptide Y.cytoskeleton | membrane | spinocerebellar ataxia type 5 | excitatory amino acid transporter 4 | Purkinje T he mammalian nervous system expresses seven spectrin genes, two encoding α-subunits and five encoding β-subunits. All are large multifunctional molecules, and all display distinctive cellular and subcellular distributions. Their role in neuronal cells remains largely conjectural. Although generally thought to organize the membrane surface or to bestow membrane stability, their diversity implies a function beyond simple stabilization. Studies in cultured cells reveal spectrin and ankyrin as scaffolds organizing internal organelles (1-6) or receptor clusters (7-10). These proteins also facilitate protein transport in the secretory (3, 10, 11) and endocytic pathways (12-14) (reviewed in ref. 15). Consonant with these roles are observations that genetic deletion or mutation of spectrins or ankyrins may cause missorting of unique subsets of adhesion molecules, receptors, and ion channels in brain or muscle, with consequential cardiovascular, neuromuscular, and neurodegenerative disease (16-18).In the nervous system, cortical (19) and cerebellar granular cell neurons (7) are enriched in βI spectrin, especially at the postsynaptic density (PSD) and on a subset of vesicular organelles. Spectrin βII is associated with axonal processes (20), and βIV spectrin is concentrated at the nodes of Ranvier and along the initial axon segment (21). Less is known about βIII spectrin, although studies point to an intere...