The function of the cystic fibrosis transmembrane conductance regulator (CFTR) as a Cl؊ channel in the apical membrane of epithelial cells is extensively documented. However, less is known about the molecular determinants of CFTR residence in the apical membrane, basal regulation of its Cl ؊ channel activity, and its reported effects on the function of other transporters. These aspects of CFTR function likely require specific interactions between CFTR and unknown proteins in the apical compartment of epithelial cells. Here we report that CFTR interacts with the recently discovered protein, EBP50 (ERM-binding phosphoprotein 50). EBP50 is concentrated at the apical membrane in human airway epithelial cells, in vivo, and CFTR and EBP50 associate in in vitro binding assays. The CFTR-EBP50 interaction requires the COOH-terminal DTRL sequence of CFTR and utilizes either PDZ1 or PDZ2 of EBP50, although binding to PDZ1 is of greater affinity. Through formation of a complex, the interaction between CFTR and EBP50 may influence the stability and/or regulation of CFTR Cl ؊ channel function in the cell membrane and provides a potential mechanism through which CFTR can affect the activity of other apical membrane proteins.Cystic fibrosis (CF) 1 is a lethal autosomal recessive disease characterized by defects in epithelial ion transport (1). CF is caused by mutation in the gene coding for the cystic fibrosis transmembrane conductance regulator (CFTR), which functions as a cAMP-regulated Cl Ϫ channel at the apical cell surface (1-3). The CF phenotype includes changes in cellular processes distinct from those involving Cl Ϫ transport, including sodium hyperabsorption and abnormalities in the processing of mucins (4 -6). The most common cause of CF are mutations that lead to the formation of an abnormally folded CFTR protein that does not reach the cell surface (2). Even wild type CFTR is inefficiently transported to the cell surface, with up to 70% of the newly synthesized proteins failing to achieve a stable conformation that escapes quality control mechanisms in the endoplasmic reticulum (2,7,8). Knowledge of the protein-protein interactions that are involved in CFTR-mediated regulation of other epithelial transport proteins, and the interactions that control the trafficking, localization, and regulation of CFTR, is incomplete. Recently, the amino terminus of CFTR was shown to interact with syntaxin 1, with implications both for insertion of CFTR into the plasma membrane and regulation of channel activity (9). Other interactions that stabilize CFTR or regulate its function remain to be identified.Compartmentalization of CFTR in a multiprotein complex might regulate CFTR activity by stabilizing the protein at the cell surface or by increasing the efficiency by which kinases and phosphatases control the channel. The presence of such a complex may also explain how CFTR modulates the activity of other epithelial cell transport proteins. A common mechanism to establish multiprotein complexes is via protein-protein interactions w...