Abstract-Sarcolemmal Naϩ /H ϩ exchanger (NHE) activity is mediated by NHE isoform 1 (NHE1), which is subject to regulation by protein kinases. Our objectives were to determine whether NHE1 is phosphorylated by protein kinase B (PKB), identify any pertinent phosphorylation site(s), and delineate the functional consequences of such phosphorylation. Active PKB␣ phosphorylated in vitro a glutathione S-transferase (GST)-NHE1 fusion protein comprising amino acids 516 to 815 of the NHE1 carboxyl-terminal regulatory domain. PKB␣-mediated phosphorylation of GST-NHE1 fusion proteins containing overlapping segments of this region localized the targeted residues to the carboxyl-terminal 190 amino acids (625 to 815) of NHE1. Mass spectrometry and phosphorylation analysis of mutated (Ser3 Ala) GST-NHE1 fusion proteins revealed that PKB␣-mediated phosphorylation of NHE1 occurred principally at Ser648. Far-Western assays demonstrated that PKB␣-mediated Ser648 phosphorylation abrogated calcium-activated calmodulin (CaM) binding to the regulatory domain of NHE1. In adult rat ventricular myocytes, adenovirus-mediated expression of myristoylated PKB␣ (myr-PKB␣) increased cellular PKB activity, as confirmed by increased glycogen synthase kinase 3 phosphorylation. Heterologously expressed myr-PKB␣ was present in the sarcolemma, colocalized with NHE1 at the intercalated disc regions, increased NHE1 phosphorylation, and reduced NHE1 activity following intracellular acidosis. Conversely, pharmacological inhibition of endogenous PKB increased NHE1 activity following intracellular acidosis. Our data suggest that NHE1 is a novel PKB substrate and that its PKB-mediated phosphorylation at Ser648 inhibits sarcolemmal NHE activity during intracellular acidosis, most likely by interfering with CaM binding and reducing affinity for intracellular H 15 ). Although the majority of studies have linked protein kinase-mediated phosphorylation of the NHE1 carboxyl-terminal regulatory domain to the upregulation of NHE1 activity, [11][12][13][14][15] there are reports that certain protein kinase pathways can inhibit NHE1. 16,17 Furthermore, although the functionally important phosphorylation sites in NHE1 have been established for some kinases (eg, RSK 12,18 ), they remain to be confirmed for many others.Interestingly, the carboxyl-terminal regulatory domain of NHE1 contains 3 putative phosphorylation sites that conform to the optimal protein kinase B (PKB) target motif (RxRxxS/ T 19 ), which suggests a potential regulatory interaction between PKB and NHE1. In the heart, 3 isoforms of PKB (PKB␣/Akt1, PKB/Akt2, and PKB␥/Akt3) are differentially expressed (␣ϭϾ␥), and each constitutes a phosphoprotein of Ϸ57 kDa that consists of an amino-terminal pleckstrin homology (PH) domain, 20,21 a central kinase domain, 22,23 and a carboxyl-terminal hydrophobic motif. 24 The PH domain is crucial for the activation of PKB as it facilitates the phosphatidylinositol 3,4,5-triphosphate-dependent translocation of PKB to the inner surface of the cell membrane, where dua...