Calcium and Ca 2؉ -dependent signals play a crucial role in sperm motility and mammalian fertilization, but the molecules and mechanisms underlying these Ca 2؉ -dependent pathways are incompletely understood. Here we show that homozygous male mice with a targeted gene deletion of isoform 4 of the plasma membrane calcium/ calmodulin-dependent calcium ATPase (PMCA), which is highly enriched in the sperm tail, are infertile due to severely impaired sperm motility. Furthermore, the PMCA inhibitor 5-(and-6)-carboxyeosin diacetate succinimidyl ester reduced sperm motility in wild-type animals, thus mimicking the effects of PMCA4 deficiency on sperm motility and supporting the hypothesis of a pivotal role of the PMCA4 on the regulation of sperm function and intracellular Ca 2؉ levels.Successful fertilization requires the sperm to travel long distances and undergo capacitation prior to reaching the female egg. After reaching their target, the sperm must interact with the extracellular matrix of the egg, including proteins of the zona pellucida, and release acrosomal material. Calcium is considered to exert a function on most, if not all, of these processes. In this field, most of the work on Ca 2ϩ signaling has focused on Ca 2ϩ entry mechanisms, especially on the role of Ca 2ϩ channels (1-4). For example, gene ablation of the cation channel of sperm (CatSper) leads to impaired sperm motility and male infertility (5), and mice lacking the mitochondrial voltage-dependent anion channel type 3 (VDAC3) are also infertile due to immotile sperm (6). These results show that tight regulation of ion entry by ion channels is critical to sperm function. Although there is little doubt as to the importance of calcium homeostasis in sperm motility and fertilization (7-12), the function of the plasma membrane Ca 2ϩ /calmodulin-dependent Ca 2ϩ ATPase (PMCA) 1 during this process remained enigmatic.PMCA represents a family of enzymes that extrude calcium from the cytosol across the plasma membrane of eukaryotic cells. Since their initial identification in erythrocytes (13), four different isoforms have been identified, and multiple splice forms of these isoforms have been described. The well defined tissue-specific expression pattern of different isoforms and splice variants of the pump in various mammalian tissues (14) and the regulated expression pattern during mouse development (15) strongly suggest a specific physiological function for each isoform and splice variant (reviewed in Strehler and Zacharias (16)). The identification of physical and functional interaction partners of the Ca 2ϩ pump has given insights into the putative functions of PMCAs as regulators of Ca 2ϩ -dependent signal transduction processes (17-21). Interaction of PMCA2 and -4 "b" splice variants was shown to be mediated by the PDZ-(PSD-95/Dlg/ZO-1) domain of the corresponding interaction partner and the C termini of the PMCA isoform (which harbors a typical PDZ domain binding motif (17)). Both modes of interaction with PDZ domain-containing proteins, specific and...