The CaV2 family of voltage-gated calcium channels, present in presynaptic nerve terminals, regulates exocytosis and synaptic transmission. Cumulative inactivation of these channels occurs during trains of action potentials, and this may control short-term dynamics at the synapse. Inactivation during brief, repetitive stimulation is primarily attributed to closed-state inactivation, and several factors modulate the susceptibility of voltage-gated calcium channels to this form of inactivation. We show that alternative splicing of an exon in a cytoplasmic region of the Ca V2.2 channel modulates its sensitivity to inactivation during trains of action potential waveforms. The presence of this exon, exon 18a, protects the Ca V 2.2 channel from entry into closed-state inactivation specifically during short (10 ms to 3 s) and small depolarizations of the membrane potential (؊60 mV to ؊50 mV). The reduced sensitivity to closed-state inactivation within this dynamic range likely underlies the differential responsiveness of Ca V2.2 splice isoforms to trains of action potential waveforms. Regulated alternative splicing of Ca V2.2 represents a possible mechanism for modulating short-term dynamics of synaptic efficacy in different regions of the nervous system. T he Ca V 2 class of voltage-gated calcium channels regulates calcium entry that triggers exocytosis from presynaptic nerve terminals (1). The temporal dynamics of calcium channel responses to action potential trains impact the fidelity of synaptic transmission (2). Membrane depolarization both activates and inactivates voltage-gated calcium channels. With repetitive, brief depolarizations, inactivation of calcium channels accumulates over time and progressively decreases calcium entry.Cumulative inactivation, a feature of both native and cloned Ca V 2 calcium channels, has been studied in detail because of its importance in regulating the short-term dynamics of synaptic efficacy (2-8). Inactivation that accumulates during brief, repetitive stimulation is thought to result from a process known as closed-state inactivation (5, 6). That is, voltage-gated calcium channels undergo inactivation in response to depolarizations that are insufficiently large to open the channel. Open-state inactivation is thought to play only a minor role in cumulative inactivation of Ca V 2 calcium channels during brief stimuli such as action potentials. Even during prolonged depolarizations that favor open-state inactivation, Ca V 2 channels inactivate with relatively slow time courses. Only in the case of Ca V 3 channels that deactivate relatively slowly following action potential repolarization has open-state inactivation been implicated in cumulative inactivation (9-11). Several factors modulate the susceptibility of voltage-gated calcium channels to cumulative inactivation, including channel subtype (6), G protein activation (3), interaction with presynaptic proteins (12, 13), and alternative splicing (10, 11). However, a limited number of studies have investigated the mechanisms by which...