Activity-dependent means of altering calcium (Ca 2+ ) influx are assumed to be of great physiological consequence, although definitive tests of this assumption have only begun to emerge. Facilitation and inactivation offer two opposing, activity-dependent means of altering Ca 2+ influx via cardiac Ca v 1.2 calcium channels. Voltage-and frequency-dependent facilitation of Ca v 1.2 has been reported to depend on Calmodulin (CaM) and/or the activity of Calmodulin kinase II (CaMKII). Several sites within the cardiac Ltype calcium channel complex have been proposed as the targets of CaMKII. Here, we generated mice with knockin mutations of α 1 1.2 S1512 and S1570 phosphorylation sites [sine facilitation (SF) mice]. Homocygote SF mice were viable and reproduced in a Mendelian ratio. Voltage-dependent facilitation in ventricular cardiomyocytes carrying the SF mutation was decreased from 1.58-to 1.18-fold. The CaMKII inhibitor KN-93 reduced facilitation to 1.28 in control cardiomyocytes. SF mutation negatively shifted the voltage-dependent inactivation and slowed recovery from inactivation, thereby making fewer channels available for activation. Telemetric ECG recordings at different heart rates showed that QT time decreased significantly more in SF than in control mice at higher rates. Our results strongly support the notion that CaMKII-dependent phosphorylation of Cav1.2 at S1512 and S1570 mediates Ca 2+ current facilitation in the murine heart. calcium channels | facilitation | heart | voltage-dependent ion channels C alcium (Ca 2+ ) current (I Ca ) through L-type channels is an important determinant of intracellular Ca 2+ transients that trigger transmitter release, secretion, and contraction (1). In the heart, the size of the intracellular Ca 2+ transient is determined by the release of Ca 2+ from intracellular stores and by the size of the L-type current (2). The availability of L-type channels to open is regulated by the membrane potential and other factors that include protein kinases, phosphatases, and Ca 2+ binding proteins (3, 4). A train of repetitive depolarizations (frequency-dependent) (5, 6) or a strong depolarizing prepulse (voltage-dependent) (7) drives the L-type calcium channels from their normal gating pattern into a mode of gating characterized by long opening and high open probability (8, 9), a process that has been termed "facilitation" and that represents one of the rare positive feedback mechanisms in signal transduction. The present consensus is that facilitation requires elevated intracellular calcium, or [Ca 2+ ], in the vicinity of the channel ("Ca In addition or alternatively to these CaM-dependent mechanisms, CDF of Ca v 1.2 has been attributed to the action of Calmodulin kinase II (CaMKII) (17)(18)(19)(20). Constitutively active CaMKII facilitated L-type current in excised patches (21). CaMKII is tethered to the C terminus in close proximity to the IQ motif, and CDF was abolished by mutating the putative interaction site (22). CaM-KII was reported by us and by others to phosphorylat...