It is known that the Na/K-ATPase ␣1 subunit interacts directly with inositol 1,4,5-triphosphate (IP 3 ) receptors. In this study we tested whether this interaction is required for extracellular stimuli to efficiently regulate endoplasmic reticulum (ER) Ca 2؉ release. Using cultured pig kidney LLC-PK1 cells as a model, we demonstrated that graded knockdown of the cellular Na/K-ATPase ␣1 subunit resulted in a parallel attenuation of ATP-induced ER Ca 2؉ release. When the knockdown cells were rescued by knocking in a rat ␣1, the expression of rat ␣1 restored not only the cellular Na/K-ATPase but also ATP-induced ER Ca 2؉ release. Mechanistically, this defect in ATP-induced ER Ca 2؉ release was neither due to the changes in the amount or the function of cellular IP 3 and P2Y receptors nor the ER Ca 2؉ content. However, the ␣1 knockdown did redistribute cellular IP 3 receptors. The pool of IP 3 receptors that resided close to the plasma membrane was abolished. Because changes in the plasma membrane proximity could reduce the efficiency of signal transmission from P2Y receptors to the ER, we further determined the dose-dependent effects of ATP on protein kinase C⑀ activation and ER Ca 2؉ release. The data showed that the ␣1 knockdown de-sensitized the ATP-induced ER Ca 2؉ release but not PKC⑀ activation. Moreover, expression of the N terminus of Na/K-ATPase ␣1 subunit not only disrupted the formation of the Na/K-ATPase-IP 3 receptor complex but also abolished the ATP-induced Ca 2؉ release. Finally, we observed that the ␣1 knockdown was also effective in attenuating ER Ca 2؉ release provoked by angiotensin II and epidermal growth factor.The Na/K-ATPase is a highly expressed integral membrane protein that hydrolyzes ATP to pump Na ϩ and K ϩ across the membrane (1). It also functions as an important signal transducer (2). Recent studies have demonstrated that cells appear to contain two functionally separable pools of Na/K-ATPase and that a majority of the cellular Na/K-ATPase is engaged in cellular activities other than pumping ions (3). Moreover, the nonpumping Na/K-ATPase apparently resides in caveolae and interacts directly with protein kinases, ion channels, and transporters (4). The interaction between the Na/K-ATPase and Src, for example, forms a functional receptor complex for cardiotonic steroids such as ouabain to activate protein tyrosine phosphorylation (5, 6). Interestingly, recent studies from several laboratories have demonstrated a direct interaction between the ␣ subunit of Na/K-ATPase and inositol 1,4,5-trisphosphate receptors (IP 3 Rs) 2 (7-10). In addition, we have found that ouabain was capable of stimulating the formation of a functional Ca 2ϩ -signaling complex consisting of the Na/KATPase/Src/PLC-␥/IP 3 R in LLC-PK1 cells (9). Furthermore, we have shown that the formation of this signaling complex plays an important role in ouabain-induced Ca 2ϩ signal transduction.The cytosolic free calcium is one of the most important cellular second messengers. Calcium enters the cytosol via the opening of Ca 2...