The HERG (human ether-à-go-go-related gene) protein, which underlies the cardiac repolarizing current I Kr , is the unintended target for many pharmaceutical agents. Inadvertent block of I Kr , known as the acquired long QT syndrome (aLQTS), is a leading cause for drug withdrawal by the United States Food and Drug Administration. Hence, an improved understanding of the regulatory factors that protect most individuals from aLQTS is essential for advancing clinical therapeutics in broad areas, from cancer chemotherapy to antipsychotics and antidepressants. Here, we show that the K ؉ channel regulatory protein KCR1, which markedly reduces I Kr drug sensitivity, protects HERG through glucosyltransferase function. KCR1 and the yeast ␣-1,2-glucosyltransferase ALG10 exhibit sequence homology, and like KCR1, ALG10 diminished HERG block by dofetilide. Inhibition of cellular glycosylation pathways with tunicamycin abrogated the effects of KCR1, as did expression in Lec1 cells (deficient in glycosylation). Moreover, KCR1 complemented the growth defect of an alg10-deficient yeast strain and enhanced glycosylation of an Alg10 substrate in yeast. HERG itself is not the target for KCR1-mediated glycosylation because the dofetilide response of glycosylation-deficient HERG(N598Q) was still modulated by KCR1. Nonetheless, our data indicate that the ␣-1,2-glucosyltransferase function is a key component of the molecular pathway whereby KCR1 diminishes I Kr drug response. Incorporation of in vitro data into a computational model indicated that KCR1 expression is protective against arrhythmias. These findings reveal a potential new avenue for targeted prevention of aLQTS.I Kr , an important component of the cardiac delayed rectifier K ϩ current, is required for repolarization of the human cardiac action potential. Mutations in HERG (human ether-à-go-gorelated gene), which encodes the ␣-subunit of the channel complex, are responsible for the chromosome 7-linked form (LQT2) of the congenital long QT syndrome (LQTS), 2 an arrhythmia syndrome characterized by action potential prolongation and delayed cardiac repolarization. LQTS causes the atypical polymorphic ventricular tachycardia torsade de pointes, leading to sudden cardiac death (1-3). A far more commonly acquired form of LQTS (aLQTS) is precipitated by exposure to a wide range of therapeutic compounds that block HERG. aLQTS represents a significant problem for public health and the pharmaceutical industry 3 and is typically observed in predisposed patients receiving treatment for noncardiac illnesses. Indeed, about half of all drug withdrawals since 1998 were in response to potential pro-arrhythmic effects linked to aLQTS (5-7).Numerous drug families bind the HERG channel and suppress I Kr in vitro, yet, surprisingly, few patients experience aLQTS. Clinically silent ion channel gene mutations have been characterized in families with cases of aLQTS, indicating that even the drug-induced form of the disorder may carry a genetic component (8 -15). However, mutations in the gene that ...