Phospholemman (PLM) belongs to the FXYD family of small ion transport regulators. When phosphorylated at Ser 68 , PLM inhibits cardiac Na ϩ /Ca 2ϩ exchanger (NCX1). We previously demonstrated that the cytoplasmic tail of PLM interacts with the proximal intracellular loop (residues 218 -358), but not the transmembrane (residues 1-217 and 765-938) or Ca 2ϩ -binding (residues 371-508) domains, of NCX1. In this study, we used intact Na ϩ /Ca 2ϩ exchanger with various deletions in the intracellular loop to map the interaction sites with PLM. We first demonstrated by Western blotting and confocal immunofluorescence microscopy that wild-type (WT) NCX1 and its deletion mutants were expressed in transfected HEK-293 cells. Cotransfection with PLM and NCX1 (or its deletion mutants) in HEK-293 cells did not decrease expression of NCX1 (or its deletion mutants). Coexpression of PLM with WT NCX1 inhibited NCX1 current (INaCa). Deletion of residues 240 -679, 265-373, 250 -300, or 300 -373 from WT NCX1 resulted in loss of inhibition of INaCa by PLM. Inhibition of INaCa by PLM was preserved when residues 229 -237, 270 -300, 328 -330, or 330 -373 were deleted from the intracellular loop of NCX1. These results suggest that PLM mediated inhibition of INaCa by interacting with two distinct regions (residues 238 -270 and 300 -328) of NCX1. Indeed, INaCa measured in mutants lacking residues 238 -270, 300 -328, or 238 -270 ϩ 300 -328 was not affected by PLM. Glutathione S-transferase pull-down assays confirmed that PLM bound to fragments corresponding to residues 218 -371, 218 -320, 218 -270, 238 -371, and 300 -373, but not to fragments encompassing residues 250 -300 and 371-508 of NCX1, indicating that residues 218 -270 and 300 -373 physically associated with PLM. Finally, acute regulation of INaCa by PLM phosphorylation observed with WT NCX1 was absent in 250 -300 deletion mutant but preserved in 229 -237 deletion mutant. We conclude that PLM mediates its inhibition of NCX1 by interacting with residues 238 -270 and 300 -328. FXYD1; ion transport; sodium-calcium exchange PHOSPHOLEMMAN (PLM), the first cloned member of the FXYD family of regulators of ion transport (35), is a 72-amino acid sarcolemmal protein with a single transmembrane (TM) domain (27). The signature PFXYD motif is located in the extracellular NH 2 terminus. The cytoplasmic tail of human, rat, and dog PLM contains three serines (at residues 62, 63, and 68) and one threonine (at residue 69), but Thr 69 is replaced by serine in mouse PLM. NMR (10) and infrared spectroscopy (2) showed that the TM domain of PLM reconstituted in liposomes is an ␣-helix with a maximum tilt of 15-17°. Specifically, NMR spectroscopic studies of highly purified PLM in model micelles indicate that the molecule consists of four ␣-helices: H1 (residues 12-17) is in the extracellular NH 2 terminus, H2 (residues 22-38) is the main TM helix followed by the short H3 (residues 39 -45), and H4 (residues 60 -68) in the COOH terminus is connected to H3 by a flexible linker (36