-Arrestins are crucial regulators of G-protein coupled receptor (GPCR) signaling, desensitization, and internalization. Despite the long-standing paradigm that agonist-promoted receptor phosphorylation is required for -arrestin2 recruitment, emerging evidence suggests that phosphorylation-independent mechanisms play a role in -arrestin2 recruitment by GPCRs. Several PDZ proteins are known to interact with GPCRs and serve as cytosolic adaptors to modulate receptor signaling and trafficking. Na ؉ /H ؉ exchange regulatory factors (NHERFs) exert a major role in GPCR signaling. By combining imaging and biochemical and biophysical methods we investigated the interplay among NHERF1, -arrestin2, and the parathyroid hormone receptor type 1 (PTHR). We show that NHERF1 and -arrestin2 can independently bind to the PTHR and form a ternary complex in cultured human embryonic kidney cells and Chinese hamster ovary cells. Although NHERF1 interacts constitutively with the PTHR, -arrestin2 binding is promoted by receptor activation. NHERF1 interacts directly with -arrestin2 without using the PTHR as an interface. Fluorescence resonance energy transfer studies revealed that the kinetics of PTHR and -arrestin2 interactions were modulated by NHERF1. These findings suggest a model in which NHERF1 may serve as an adaptor, bringing -arrestin2 into close proximity to the PTHR, thereby facilitating -arrestin2 recruitment after receptor activation.Scaffold proteins play an increasingly recognized role in the regulation and the signal transduction of G protein coupled receptors (GPCRs).2 The interaction of GPCRs with -arrestins results in several distinct effects: (i) signal termination by homologous receptor desensitization, (ii) recruitment of elements of the internalization machinery thereby promoting GPCR endocytosis, and (iii) switching GPCR signaling to nonclassical pathways such as the mitogen-activated protein kinase pathway (1-3). Despite their limited sequence homology, nearly all GPCRs bind to -arrestins, and -arrestin recruitment is considered to be a universal mechanism for GPCR regulation. Rather than binding to a specific motif, -arrestins appear to interact with several parts of the receptor involving the second and third intracellular loops and the C terminus (4 -6). It is generally thought that -arrestin-receptor interaction involves an initial weak interaction of cytosolic -arrestins with an active and phosphorylated receptor conformation, followed by conformational rearrangements of -arrestins that further stabilize the receptor⅐arrestin complex (7,8).The receptor for parathyroid hormone (PTH) and PTH-related protein is involved in regulating calcium homeostasis and bone remodeling (9). Agonist occupancy of the PTH/PTH-related protein receptor (PTHR) leads to G s -mediated stimulation of adenylyl cyclase, resulting in cAMP production and PKA activation, and G q/11 -mediated phosphatidylinositol-specific phospholipase C stimulation, leading to inositol 1,4,5-trisphosphate formation, calcium mobilization...