Na + -K + -ATPase (NKA) establishes the transmembrane [Na + ] gradient in cells. In heart, phospholemman (PLM) inhibits NKA activity by reducing its apparent Na + affinity, an effect that is relieved by PLM phosphorylation. The NKA crystal structure suggests regions of PLM-NKA interaction, but the sites important for functional effects in live cells are not known. We tested wild type (WT) and CFP-NKA-α1 point mutants (alanine substitution at F956, E960, L964, and F967) for fluorescence resonance energy transfer (FRET) with WT-PLM-YFP in HEK293 cells. NKA-PLM FRET was unaltered with F956A or F967A, reduced with L964A, and nearly abolished with E960A. Mutating the PLM site (F28A) identified by structural analysis to interact with E960-NKA also nearly abolished NKA-PLM FRET. In contrast, NKA-PLM coimmunoprecipitation was only slightly reduced by E960A-NKA or F28A-PLM mutants, consistent with an additional interaction site. FRET titrations indicate that the additional site has higher affinity than that between E960-NKA and F28-PLM. To test whether the FRET-preventing mutations also prevent PLM functional effects, we measured NKA-mediated Na + -transport in intact cells. For WT-NKA, PLM reduced apparent Na + -affinity of NKA and PLM phosphorylation reversed the effect. In contrast, for E960A-NKA the apparent Na + -affinity was unaltered by either PLM or forskolin-induced PLM phosphorylation. We conclude that E960 on NKA and F28 on PLM are critical for PLM effects on both NKA function and NKA-PLM FRET, but also there is at least one additional site that is critical for tethering PLM to NKA.is critical for electrical excitability and coupled transport. In heart, [Na + ] i closely regulates intracellular Ca 2+ , contraction, and rhythmicity via Na + /Ca 2+ exchange (1, 2). Small changes in [Na + ] i can have major effects on both [Ca 2+ ] i and intracellular pH (via Na + /H + exchange) (2). Therefore, [Na + ] i regulation is very important for understanding basic ion homeostatic mechanisms.There are several Na + entry pathways, whereas the Na + /K + pump (NKA) is the main Na + extrusion pathway (2). NKA is a ubiquitous transmembrane protein that establishes and maintains [Na + ] and [K + ] gradients across the plasma membrane. These gradients ensure osmotic balance, resting membrane potential, and cellular excitability. NKA uses energy derived from hydrolysis of ATP to extrude three Na + ions in exchange for two K + ions.Phospholemman (PLM), a 72-amino acid sarcolemmal protein, is a member of the FXYD protein family, which derives its name from the conserved Phe-X-Tyr-Asp motif in the proximal extracellular domain. FXYDs are tissue-specific NKA regulators that bind to and modulate NKA function by affecting the apparent affinity for internal Na + or external K + (3-5). The [Na + ] i for halfmaximal NKA activation (K 0.5 ) in the heart varies with internal and external ionic conditions and is typically 8-22 mM. This is near the resting [Na + ] i in most cells (6). PLM (FXYD1) is highly expressed in heart, brain, and skele...