L-Type calcium channels are multiprotein complexes composed of pore-forming (Ca V 1.2) and modulatory auxiliary ␣ 2 ␦-and -subunits. We demonstrate expression of two different isoforms for the  2 -subunit ( 2a ,  2b ) and the  3 -subunit ( 3a ,  3trunc ) in human non-failing and failing ischemic myocardium. Quantitatively, in the left ventricle expression of  2b transcripts prevails in the order of >  3 > >  2a . The expressed cardiac full-length  3 -subunit is identical to the  3a -isoform, and  3trunc results from deletion of exon 6 (20 nn) entailing a reading frameshift and translation stop at nucleotide position 495. In failing ischemic myocardium  3trunc expression increases whereas overall  3 expression remains unchanged. Heterologous coexpression studies demonstrated that  2 induced larger currents through rabbit and human cardiac Ca V 1.2 pore subunits than  3 isoforms. All -subunits increased channel availability at single channel level, but  2 exerted an additional, marked stimulation of rapid gating (open and closed times, first latency), leading to higher peak current values. We conclude that cardiac -subunit isoforms differentially modulate calcium inward currents because of regulatory effects within the channel protein complex. Moreover, differences in the various -subunit gene products present in human heart might account for altered single channel behavior found in human heart failure.