We have investigated the role of the S4-S5 linker in the trafficking of the intermediate (human (h) IK1) and small (rat SK3) conductance K ؉ channels using a combination of patch-clamp, protein biochemical, and immunofluorescence-based techniques. We demonstrate that a lysine residue (Lys 197 ) located on the intracellular loop between the S4 and S5 domains is necessary for the correct trafficking of hIK1 to the plasma membrane. Mutation of this residue to either alanine or methionine precluded trafficking of the channel to the membrane, whereas the charge-conserving arginine mutation had no effect on channel localization or function. Immunofluorescence localization demonstrated that the K197A mutation resulted in a channel that was primarily retained in the endoplasmic reticulum, and this could not be rescued by incubation at 27°C. Furthermore, immunoblot analysis revealed that the K197A mutation was overexpressed compared with wild-type hIK1 and that this was due to a greatly diminished rate of channel degradation. Co-immunoprecipitation studies demonstrated that the K197A mutation did not preclude multimer formation. Indeed, the K197A mutation dramatically suppressed expression of wild-type hIK1 at the cell surface. Finally, mutation of this conserved lysine in rat SK3 similarly resulted in a channel that failed to correctly traffic to the plasma membrane. These results are the first to demonstrate a critical role for the S4-S5 linker in the trafficking and/or function of IK and SK channels.The human (h) 3 intermediate conductance Ca 2ϩ -activated K ϩ channel IK1 is a member of the KCNN gene family, which also includes SK1-3, the small conductance Ca 2ϩ -activated K ϩ channels. Within this channel family, there is ϳ40% amino acid sequence homology, with the greatest level of identity occurring in the pore and proximal C terminus, a region known to constitutively bind calmodulin (1, 2), thereby conferring Ca 2ϩ sensitivity to these channels. The hIK1 channel is now known to be the Gardos channel involved in red blood cell volume regulation (3). hIK1 is also known to be involved in the Ca 2ϩ -dependent regulation of Cl Ϫ secretion across intestinal and airway epithelia (4 -8). More recent work has demonstrated that the progression of breast cancer cells through the cell cycle is dependent on membrane hyperpolarization resulting from the activation of hIK1 channels (9). hIK1 has also been shown to play a role in both macrophage activation and T-lymphocyte proliferation (10 -12). The critical role that pharmacological modulation of hIK1 may play has been revealed by the demonstration that blockers of hIK1 reduce the autoimmune response to experimental encephalomyelitis in mice (13), reduce brain edema following traumatic brain injury (14), and prevent restenosis following balloon angioplasty (15). Also, openers have been shown to alter vascular tone and hence may modulate peripheral blood pressure (16,17). A great deal of research has focused on both the biophysical and pharmacological properties of hIK1 (18 -20)...