The importance of proper ion channel trafficking is underpinned by a number of channel-linked genetic diseases whose defect is associated with failure to reach the cell surface. Conceptually, it is reasonable to suggest that the function of ion channels depends critically on the precise subcellular localization and the number of channel proteins on the cell surface membrane, which is determined jointly by the secretory and endocytic pathways. Yet the precise mechanisms of the entire ion channel trafficking pathway remain unknown. Here, we directly demonstrate that proper membrane localization of a smallconductance Ca 2ϩ -activated K ؉ channel (SK2 or KCa2.2) is dependent on its interacting protein, ␣-actinin2, a major F-actin crosslinking protein. SK2 channel localization on the cell-surface membrane is dynamically regulated, and one of the critical steps includes the process of cytoskeletal anchoring of SK2 channel by its interacting protein, ␣-actinin2, as well as endocytic recycling via early endosome back to the cell membrane. Consequently, alteration of these components of SK2 channel recycling results in profound changes in channel surface expression. The importance of our findings may transcend the area of K ؉ channels, given that similar cytoskeletal interaction and anchoring may be critical for the membrane localization of other ion channels in neurons and other excitable cells.ion channel trafficking ͉ early endosome ͉ cardiac myocytes ͉ small conductance Ca 2ϩ -activated K ϩ channel ͉ calmodulin binding domain T he function of ion channels depends critically on the precise number and subcellular localization of the channel proteins on the cell-surface membrane (1, 2). The steady-state cell-surface expression of ion channels is intricately and dynamically governed by the anterograde (forward) and retrograde trafficking (2, 3). Ion channel molecules are first synthesized in the endoplasmic reticulum (ER), assembled and processed, then trafficked to the membrane where they function. Trafficking of ion channel proteins to the surface membrane involves a series of tightly regulated events coordinated by ER resident proteins, microtubules, transport vesicle and Golgi apparatus, the actin cytoskeleton, myosins, and anchoring proteins (2). The importance of correct ion channel trafficking is highlighted by a number of channel-linked genetic diseases whose defect is associated with failure to reach the cell surface (4-8).Small-conductance Ca 2ϩ -activated K ϩ (SK or K Ca 2) channels belong to a family of Ca 2ϩ -activated K ϩ channels (K Ca ) that have been reported from a wide variety of cells (9-11). SK channels represent a highly unique family of K ϩ channels, in that they are directly gated by changes in intracellular Ca 2ϩ concentration and hence function to integrate changes in Ca 2ϩ concentration with changes in K ϩ conductance and membrane potentials. SK channels have been shown to mediate afterhyperpolarizations in neurons (9, 12, 13) and action potential repolarization in cardiac tissues (14,15). Prev...