Inwardly rectifying potassium (Kir) channels are prime determinants of resting membrane potential in neurons. Their subcellular distribution and surface density thus help shape neuronal excitability, yet mechanisms governing the membrane targeting and localization of Kir channels are poorly understood. Here we report a direct interaction between the strong inward rectifier, Kir2.1, and a recently identified splice variant of postsynaptic density-93 (PSD-93), a protein involved the subcellular targeting of ion channels and glutamate receptors at excitatory synapses. Yeast two-hybrid screening of a human brain cDNA library using the carboxyl terminus of Kir2.1 as bait yielded cDNA encoding the first two PDZ domains of PSD-93, but with an extended N-terminal region that diverged from other PSD-93 isoforms. This clone represented the human homologue of the mouse PSD-93 splice variant, PSD-93␦. Reverse transcription-polymerase chain reaction analysis showed diffuse low level PSD-93␦ expression throughout the brain, with significantly higher levels in spinal cord. In vitro binding studies revealed that a type I PDZ recognition motif at the extreme C terminus of the Kir2.1 mediates interaction with all three PDZ domains of PSD-93␦, and association between Kir2 channels and PSD-93␦ was confirmed further by the ability of antiKir2.1 antibodies to coimmunoprecipitate PSD-93␦ from rat spinal cord lysates. Functionally, coexpression of Kir2.1 and PSD-93␦ had no discernible effect upon channel kinetics but resulted in cell surface Kir2.1 clustering and suppression of channel internalization. We conclude that PSD-93␦ is potentially an important regulator of the spatial and temporal distribution of Kir2 channels within neuronal membranes of the central nervous system.Inwardly rectifying potassium channels comprise a family of integral membrane proteins whose diverse cellular functions include maintenance of the resting membrane potential, control of neuronal excitability and heart rate, and potassium homeostasis (1-3). Underlying these functions is the property of inward rectification, the ability to allow potassium to move easily into the cell at membrane potentials negative to the potassium equilibrium potential (E K ) but to restrict potassium outflow at potentials positive to E K . This asymmetry in the current-voltage relation results from the channel's susceptibility to voltage-dependent block by intracellular polyamines and magnesium ions (4, 5) and ensures that, while being extremely active around E K , they pass little or no current at membrane potentials positive to Ϫ40 mV. Thus, Kir 1 channels maintain a tight control on the resting membrane potential but close in the face of significant membrane depolarization (such as that generated by the cardiac or neuronal action potential) to protect the cell from excessive K ϩ loss. This pivotal role in the regulation of the membrane potential makes Kir channels attractive candidates for modulation by neurotransmitters and hormones, since even small fluctuations in Kir channe...