The principal ␣ subunit of voltage-gated sodium channels is associated with auxiliary  subunits that modify channel function and mediate protein-protein interactions. We have identified a new  subunit termed 4. Like the 1-3 subunits, 4 contains a cleaved signal sequence, an extracellular Ig-like fold, a transmembrane segment, and a short intracellular C-terminal tail. Using TaqMan reverse transcription-PCR analysis, in situ hybridization, and immunocytochemistry, we show that 4 is widely distributed in neurons in the brain, spinal cord, and some sensory neurons. 4 is most similar to the 2 subunit (35% identity), and, like the 2 subunit, the Ig-like fold of 4 contains an unpaired cysteine that may interact with the ␣ subunit. Under nonreducing conditions, 4 has a molecular mass exceeding 250 kDa because of its covalent linkage to Na v 1.2a, whereas on reduction, it migrates with a molecular mass of 38 kDa, similar to the mature glycosylated forms of the other  subunits. Coexpression of 4 with brain Na v 1.2a and skeletal muscle Na v 1.4 ␣ subunits in tsA-201 cells resulted in a negative shift in the voltage dependence of channel activation, which overrode the opposite effects of 1 and 3 subunits when they were present. This novel, disulfide-linked  subunit is likely to affect both protein-protein interactions and physiological function of multiple sodium channel ␣ subunits.