Interactions between Z-disc proteins regulate muscle functions and disruption of these interactions results in muscle disorders. Mutations in Z-disc components myotilin, ZASP/Cypher, and FATZ-2 (calsarcin-1/ myozenin-2) are associated with myopathies. We report here that the myotilin and the FATZ (calsarcin/ myozenin) families share high homology at their final C-terminal five amino acids. ThisL motif is present almost exclusively in these families and is evolutionary conserved. We show by in vitro and in vivo studies that proteins from the myotilin and FATZ (calsarcin/myozenin) families interact via this novel type of class III PDZ binding motif with the PDZ domains of ZASP/Cypher and other Enigma family members: ALP, CLP-36, and RIL. We show that the interactions can be modulated by phosphorylation. Calmodulin-dependent kinase II phosphorylates the C terminus of FATZ-3 (calsarcin-3/myozenin-3) and myotilin, whereas PKA phosphorylates that of FATZ-1 (calsarcin-2/myozenin-1) and FATZ-2 (calsarcin-1/ myozenin-1). This is the first report of a binding motif common to both the myotilin and the FATZ (calsarcin/ myozenin) families that is specific for interactions with Enigma family members.The sarcomere of striated muscle consists of strictly organized subunits, myosin-containing thick filaments and actincontaining thin filaments. The thin filaments are aligned and cross-linked at the Z-discs by a molecular complex in which ␣-actinin is one of the core structures. Since the contractile force is transduced via the Z-discs, this structure has special requirements. It must provide extensive stability and yet undergo modulation in response to external signals. The Z-discs also serve as important sensors of extracellular cues and mediators of cellular signals that result in various adaptive responses (37). Muscle cells are able to sense changes in their workload and adapt accordingly via complex signaling pathways, some involving calcium, since its level in muscle cells alters in response to nerve pulses and muscle contraction. Of special importance is calcineurin, a sarcomeric calcium/calmodulin-dependent phosphatase that can act as a sensor of change. It is involved in the regulation of genes affecting muscle differentiation and fiber-type specification (12, 13).The special role of the Z-discs is indicated by the fact that mutations in several Z-disc proteins can result in neuromuscular disorders and cardiomyopathies. For instance, myofibrillar myopathy (desmin-related myopathy), a disease characterized by sarcomere disintegration and accumulation of thin filament material, is caused by dominantly inherited missense mutations in Z-disc proteins: myotilin, filamin-C, and Z-band alternatively spliced PDZ motif-containing protein (ZASP, also named LIM domain-binding factor 3, Cypher, or Oracle) (42, 43, 52). Missense mutations in myotilin can also result in limbgirdle muscular dystrophy 1A and spheroid body myositis (10, 18), while mutations in ZASP/Cypher (8, 57), myopalladin or FATZ-2 (calsarcin-1/myozenin-2) have been ...