binding. Electrophysiological studies using 80K-H mutants showed that three domains of 80K-H (the two EFhand structures, the highly acidic glutamic stretch, and the His-Asp-Glu-Leu sequence) are critical determinants for TRPV5 activity. Importantly, inactivation of the EFhand pair reduced the TRPV5-mediated Ca 2؉ current and increased the TRPV5 sensitivity to intracellular Ca 2؉ , accelerating the feedback inhibition of the channel. None of the 80K-H mutants altered the TRPV5 plasma membrane localization nor the association of 80K-H with TRPV5, suggesting that 80K-H has a direct effect on TRPV5 activity. In conclusion, we report a novel function for 80K-H as a Ca 2؉ sensor controlling TRPV5 channel activity.The maintenance of the body Ca 2ϩ balance is of crucial importance for many vital physiological functions, including neuronal excitability, muscle contraction, and bone formation.The recent identification of two novel members of the transient receptor potential (TRP) 1 superfamily, TRPV5 and TRPV6, has provided new insight into the molecular mechanisms controlling the extracellular Ca 2ϩ balance (1-3). TRPV5 and TRPV6 are Ca 2ϩ -selective channels involved in transcellular Ca 2ϩ transport across vitamin D 3 -sensitive epithelia, such as kidney, intestine, and placenta (4, 5). Furthermore, these two channels possess unique functional characteristics among the highly heterogeneous group of TRP channels (6). They exhibit a constitutively activated Ca 2ϩ permeability, a high Ca 2ϩ selectivity, and a Ca 2ϩ -dependent feedback mechanism regulating channel activity (7,8).TRPV5 activity is controlled by various regulatory mechanisms ranging from long-term transcriptional modulations to short-term direct physical interactions with intracellular factors. TRPV5 is regulated at the transcriptional level by 1,25-dihydroxyvitamin D 3 (1,25-(OH) 2 D 3 ), dietary Ca 2ϩ , and 17-estradiol (5, 9, 10). Previous studies have shown that these hormones and dietary Ca 2ϩ normalize the hypocalcemia in 25-hydroxyvitamin D 3 -1␣-hydroxylase knock-out mice, which is accompanied by an up-regulation of TRPV5 mRNA expression levels. Furthermore, TRPV5 modulation occurs at the post-translational level by controlling translocation of the channel from intracellular pools to the plasma membrane. Recently, the S100A10-annexin 2 complex was demonstrated to modulate the functional plasma membrane distribution of TRPV5 by direct association to the carboxyl (C)-terminal tail of the channel. Down-regulation of annexin 2 inhibited TRPV5-mediated currents in TRPV5-transfected cells (11). Finally, the terminal tails of the channel contain potential regulatory motifs, such as protein kinase C (PKC) phosphorylation sites, PDZ motifs, and ankyrin repeats (4). This suggests a regulatory role for the intracellular tails of TRPV5 in the (in)activation or the trafficking of the channel. In line with this observation, Niemeyer et al. (13) demonstrated that TRPV6 is competitively regulated by PKC and calmodulin.The aim of the present study was to identify ...