Congenital long-or short-QT syndrome may lead to life-threatening ventricular tachycardia and sudden cardiac death. Apart from the rare disease-causing mutations, common genetic variants in CAPON, a neuronal nitric oxide synthase (NOS1) regulator, have recently been associated with QT interval variations in a human whole-genome association study. CAPON had been unsuspected of playing a role in cardiac repolarization; indeed, its physiological role in the heart (if any) is unknown. To define the biological effects of CAPON in the heart, we investigated endogenous CAPON protein expression and protein-protein interactions in the heart and performed electrophysiological studies in isolated ventricular myocytes with and without CAPON overexpression. We find that CAPON protein is expressed in the heart and interacts with NOS1 to accelerate cardiac repolarization by inhibition of L-type calcium channel. Our findings provide a rationale for the association of CAPON gene variants with extremes of the QT interval in human populations.NOS1 ͉ QT interval ͉ cardiac electrophysiology R are disease-causing mutations leading to congenital long-or short-QT syndrome are well recognized, but there is little insight into genetic sources of QT interval variation in normal populations. A whole-genome association approach has recently implicated common genetic variants in CAPON as contributing to QT interval differences in a community-based German population (1). This association has since been confirmed in other populations (2, 3). The genetic findings challenge our current understanding of QT physiology. CAPON, first identified in rat brain neurons (4), is a highly conserved protein (Ϸ92% conceptual amino acid sequence identity between rat and human) with an N-terminal phosphotyrosine-binding (PTB) domain and a C-terminal PDZ-binding [postsynaptic density-95 (PSD95)/drosophila discs large/zona occludens-1] domain (4-6). In brain, CAPON competes with PSD95 for the binding of neuronal nitric oxide synthase (NOS1) through the interaction of its C terminus with the PDZ domain of NOS1 (4), thus uncoupling the NMDA-NOS1-NO-mediated signaling pathways. CAPON is also an adaptor protein of NOS1, capable of directing NOS1 to specific target proteins (5, 6). Nowhere, however, has CAPON been suspected of playing a role in cardiac physiology.Both NOS1 and endothelial NOS (NOS3) are constitutively expressed in cardiomyocytes (7). NOS1 in the sarcolemma has been proposed to interact with Na ϩ -K ϩ ATPase (8) and with the plasma membrane Ca 2ϩ /calmodulin-dependent Ca 2ϩ ATPase (PMCA) through the interaction of PDZ domain of NOS1 and the C terminus of PMCA4b isoform (9). In the sarcoplasmic reticulum (SR), NOS1 is structurally associated with ryanodine receptor 2 (RyR2) (10) and cardiac SR Ca 2ϩ ATPase (SERCA2) (11) to regulate intracellular calcium cycling and excitation-contraction coupling. Conditional transgenic overexpression of NOS1 in heart leads to additional association of NOS1 and the sarcolemmal L-type calcium channel and thus suppresses...