The KCNJ10 gene encoding Kir4.1 contains numerous SNPs whose molecular effects remain unknown. We investigated the functional consequences of uncharacterized SNPs (Q212R, L166Q, and G83V) on homomeric (Kir4.1) and heteromeric (Kir4.1-Kir5.1) channel function. We compared these with previously characterized EAST/SeSAME mutants (G77R and A167V) in kidney-derived tsA201 cells and in glial cell-derived C6 glioma cells. The membrane potentials of tsA201 cells expressing G77R and G83V were significantly depolarized as compared with WTKir4.1, whereas cells expressing Q212R, L166Q, and A167V were less affected. Furthermore, macroscopic currents from cells expressing WTKir4.1 and Q212R channels did not differ, whereas currents from cells expressing L166Q, G83V, G77R, and A167V were reduced. Unexpectedly, L166Q current responses were rescued when co-expressed with Kir5.1. In addition, we observed notable differences in channel activity between C6 glioma cells and tsA201 cells expressing L166Q and A167V, suggesting that there are underlying differences between cell lines in terms of Kir4.1 protein synthesis, stability, or expression at the surface. Finally, we determined spermine (SPM) sensitivity of these uncharacterized SNPs and found that Q212R-containing channels displayed reduced block by 1 M SPM. At 100 M SPM, the block was equal to or greater than WT, suggesting that the greater driving force of SPM allowed achievement of steady state. In contrast, L166Q-Kir5.1 channels achieved a higher block than WT, suggesting a more stable interaction of SPM in the deep pore cavity. Overall, our data suggest that G83V, L166Q, and Q212R residues play a pivotal role in controlling Kir4.1 channel function.Inwardly rectifying potassium (Kir) 3 channels are involved in maintenance of negative resting membrane potential (1-3), potassium buffering (1, 4), extracellular glutamate clearance (1, 4, 5), myelination (6), and cell volume regulation (3, 7). Kir4.1 channels are tetramers formed by Kir4.1 (KCNJ10) subunits. Kir4.1-containing channels are expressed in glial cells (8 -14) including in astrocytic end feet surrounding blood vessels (9, 15-17) and surrounding neuronal synapses (9, 17) where they are involved in maintenance of extracellular [K ϩ ] o and glutamate homeostasis (4,11,18). These functions are critical as inability to control [K ϩ ] o and glutamate alters neuronal excitability and may lead to seizures and neuronal death (4, 18 -20). Similarly in the retina, Kir4.1-dependent Kir channels are involved in homeostasis of extracellular potassium produced by neuronal activity in a process called potassium siphoning (9, 14, 21, 22).Kir4.1 subunits are also prominently expressed in the distal convoluted tubules in the kidneys (23) where they are involved in K ϩ recycling (24) and in the ear, specifically in the stria vascularis, where they are responsible for producing the endocochlear potential (7). Complete absence or loss-of-function mutations in these channel subunits cause EAST/SeSAME syndrome characterized by seizures, se...