The molecular mechanism underlying PKA-mediated regulation of Na ؉ ,K ؉ -ATPase was explored in mutagenesis studies of the potential PKA site at Ser-938 and surrounding charged residues. The phosphomimetic mutations S938D/E interfered with Na ؉ binding from the intracellular side of the membrane, whereas Na ؉ binding from the extracellular side was unaffected. Electrostatic interaction of Glu-998 is of minor importance for the reduction of Na ؉ affinity by phosphomimetic S938E as revealed by combining S938E with E998A.ATPase is a plasma membrane-associated ion pump protein that actively extrudes three Na ϩ ions from the cell while importing two K ϩ ions for each ATP being hydrolyzed (1-4). It is found in all animal cells where its main function is to establish and maintain transmembrane Na ϩ and K ϩ gradients that are fundamental to a variety of physiological processes ranging from electrical excitability of neurons in the brain to Na ϩ reabsorption in the kidney. The Na ϩ ,K ϩ -ATPase belongs to the superfamily of P-type ATPases and is a heterooligomeric protein consisting of a catalytic ␣-subunit, a -subunit required for translocation of the protein complex to the plasma membrane, and a small regulatory protein belonging to the FXYD family (for reviews, see Refs. 4 and 5). The ␣-subunit is made up of a membrane part containing transmembrane helices 1-10 (M1-M10) 2 and a cytoplasmic "head" formed from three subdomains: actuator (A), nucleotide binding (N), and phosphorylation (P) domains (Fig. 1B). During the Na ϩ ,K ϩ -pump cycle (reaction scheme in Fig. 1A), ATP binds to the Nand P-domains, and the ␥-phosphate is transferred to a conserved aspartic acid residue of the P-domain. This phosphorylation is triggered by Na ϩ binding from the cytoplasmic side of the membrane, whereas dephosphorylation with release of inorganic phosphate is triggered by K ϩ binding from the extracellular side. The Na ϩ and K ϩ binding residues are found in the transmembrane helices M4, M5, M6, and M8 (6 -8). Na ϩ ,K ϩ -ATPase alternates between so-called E 1 and E 2 states (1, 2) (see reaction scheme in Fig. 1A). E 1 states bind Na ϩ at three sites denoted I, II, and III, whereas E 2 states prefer K ϩ , binding at two sites, I and II, that overlap considerably with Na ϩ sites I and II. The Na ϩ selectivity of site III is thought to arise in part from interactions of the two C-terminal tyrosines, stabilizing the position of the M5 helix, such that Na ϩ , but not the larger K ϩ ion, can fit into site III, which is the first of the three Na ϩ sites to be occupied when Na ϩ binds from the intracellular side (6,8,9). In addition to the autophosphorylation of the P-domain conserved aspartate, which is central to the reaction cycle of Na ϩ ,K ϩ -ATPase, the Na ϩ ,K ϩ -ATPase activity depends on regulatory phosphorylation by protein kinases (for a review, see Ref. 10). In cardiac myocytes, "kinase-mediated" phosphorylation of the FXYD1 protein stimulates Na ϩ ,K ϩ -ATPase (11). Furthermore, phosphorylation of the Na ϩ ,K ϩ -ATPase ␣-subunit...