Edited by Mike Shipston Epithelial Na ؉ channel (ENaC)-mediated Na ؉ transport has a key role in the regulation of extracellular fluid volume, blood pressure, and extracellular [K ؉ ]. Among the thousands of human ENaC variants, only a few exist whose functional consequences have been experimentally tested. Here, we used the Xenopus oocyte expression system to investigate the functional roles of four nonsynonymous human ENaC variants located within the 7-strand and its adjacent loop of the ␣-subunit extracellular -ball domain. ␣R350W␥ and ␣G355R␥ channels exhibited 2.5-and 1.8-fold greater amiloride-sensitive currents than WT ␣␥ human ENaCs, respectively, whereas ␣V351A␥ channels conducted significantly less current than WT. Currents in ␣H354R␥-expressing oocytes were similar to those expressing WT. Surface expression levels of three mutants (␣R350W␥, ␣V351A␥, and ␣G355R␥) were similar to that of WT. However, three mutant channels (␣R350W␥, ␣H354R␥, and ␣G355R␥) exhibited a reduced Na ؉ self-inhibition response. Open probability of ␣R350W␥ was significantly greater than that of WT. Moreover, other Arg-350 variants, including ␣R350G, ␣R350L, and ␣R350Q, also had significantly increased channel activity. A direct comparison of ␣R350W and two previously reported gain-of-function variants revealed that ␣R350W increases ENaC activity similarly to ␣W493R, but to a much greater degree than does ␣C479R. Our results indicate that ␣R350W along with ␣R350G, ␣R350L, and ␣R350Q, and ␣G355R are novel gain-of-function variants that function as gating modifiers. The location of these multiple functional variants suggests that the ␣ENaC -ball domain portion that interfaces with the palm domain of ENaC critically regulates ENaC gating.