Ca 2+ -activated chloride currents carried via transmembrane proteins TMEM16A and TMEM16B regulate diverse processes including mucus secretion, neuronal excitability, smooth muscle contraction, olfactory signal transduction, and cell proliferation. Understanding how TMEM16A/16B are regulated by Ca 2+ is critical for defining their (patho)/physiological roles and for rationally targeting them therapeutically. Here, using a bioengineering approach-channel inactivation induced by membrane-tethering of an associated protein (ChIMP)-we discovered that Ca 2+ -free calmodulin (apoCaM) is preassociated with TMEM16A/16B channel complexes. The resident apoCaM mediates two distinct Ca 2+ -dependent effects on TMEM16A, as revealed by expression of dominant-negative CaM 1234 . These effects are Ca 2+ -dependent sensitization of activation (CDSA) and Ca 2+ -dependent inactivation (CDI). CDI and CDSA are independently mediated by the N and C lobes of CaM, respectively. TMEM16A alternative splicing provides a mechanism for tuning apoCaM effects. Channels lacking splice segment b selectively lost CDI, and segment a is necessary for apoCaM preassociation with TMEM16A. The results reveal multidimensional regulation of TMEM16A/16B by preassociated apoCaM and introduce ChIMP as a versatile tool to probe the macromolecular complex and function of Ca 2+ -activated chloride channels.broadly expressed in mammalian cells regulate diverse physiological functions including: epithelial mucus secretion (1, 2), neuronal excitability (3-5), smooth muscle contraction (6), olfactory transduction (7,8), and cell proliferation (9, 10). Drugs targeting CaCCs are being pursued as therapies for hypertension, cystic fibrosis, asthma, and cancer (1, 9, 11).Three laboratories independently identified the transmembrane protein TMEM16A as the molecular component of a CaCC (12)(13)(14). TMEM16A belongs to a protein family with 10 members encoded by distinct genes (15-18). There is universal agreement that TMEM16A, and the closely related TMEM16B, are bona fide CaCCs (2,(12)(13)(14)19). Consistent with this, TMEM16A knockout mice displayed defective CaCC activity in a variety of epithelia (20)(21)(22), and the olfactory CaCC current was completely abolished in TMEM16B knockout mice (23). Hydropathy analyses suggest TMEM16 proteins have a similar topology with cytosolic N and C termini and eight predicted transmembrane helices (2, 19). Human TMEM16A has four alternatively spliced segments (a-d), differential inclusion of which modify voltage and Ca 2+ sensitivity of resultant channel splice variants (24).CaCCs are highly sensitive to intracellular [Ca 2+ ], displaying graded increases in Cl − current (I Cl ) amplitude as [Ca 2+ ] i is raised from resting levels (∼100 nM) to the 1-to 2-μM range. In some cases, high [Ca 2+ ] i (>10 μM) leads to decreased I Cl amplitude (inactivation) (25-27). The Ca 2+ sensor(s) for Ca 2+ -dependent activation and inactivation (CDA and CDI) of TMEM16A/16B is unknown. There are two possible nonexclusive mechanisms: (i) dire...