The close apposition between the endoplasmic reticulum (ER) and the plasma membrane (PM) plays important roles in Ca 2+ homeostasis, signaling, and lipid metabolism. The extended synaptotagmins (E-Syts; tricalbins in yeast) are ER-anchored proteins that mediate the tethering of the ER to the PM and are thought to mediate lipid transfer between the two membranes. E-Syt cytoplasmic domains comprise a synaptotagmin-like mitochondrial-lipidbinding protein (SMP) domain followed by five C2 domains in E-Syt1 and three C2 domains in E-Syt2/3. Here, we used cryo-electron tomography to study the 3D architecture of E-Syt-mediated ER-PM contacts at molecular resolution. In vitrified frozen-hydrated mammalian cells overexpressing individual E-Syts, in which E-Sytdependent contacts were by far the predominant contacts, ER-PM distance (19-22 nm) correlated with the amino acid length of the cytosolic region of E-Syts (i.e., the number of C2 domains). Elevation of cytosolic Ca 2+ shortened the ER-PM distance at E-Syt1-dependent contacts sites. E-Syt-mediated contacts displayed a characteristic electron-dense layer between the ER and the PM. These features were strikingly different from those observed in cells exposed to conditions that induce contacts mediated by the stromal interaction molecule 1 (STIM1) and the Ca 2+ channel Orai1 as well as store operated Ca 2+ entry. In these cells the gap between the ER and the PM was spanned by filamentous structures perpendicular to the membranes. Our results define specific ultrastructural features of E-Syt-dependent ER-PM contacts and reveal their structural plasticity, which may impact on the cross-talk between the ER and the PM and the functions of E-Syts in lipid transport between the two bilayers.T he endoplasmic reticulum (ER) consists of a complex network of tubules and cisternae that extends throughout the cell and forms close appositions ("contact sites") with other membranous organelles and with the plasma membrane (PM) (1, 2). The best characterized function of ER-PM contacts is in Ca 2+ homeostasis, as ER-PM contacts mediate the excitationcontraction coupling in muscle and store-operated Ca 2+ entry (SOCE) in all metazoan cells. In SOCE, upon depletion of Ca 2+ in the ER, the ER protein stromal interaction molecule 1 (STIM1) oligomerizes, binds, and activates Orai1 Ca 2+ channels at the PM to drive influx of extracellular Ca 2+ , thereby allowing homeostatic regulation of ER Ca 2+ levels (3, 4). However, growing evidence suggests that ER-PM contacts also play more general roles, including signaling (5, 6) and the regulation of both lipid metabolism and transport between bilayers (1, 7-17).We recently have shown that the three mammalian extended synaptotagmins (E-Syts), homologs of the yeast tricalbins (18,19), act as ER-PM tethers (20). E-Syts are ER-anchored proteins (via an N-terminal hairpin) containing a synaptotagmin-like mitochondrial-lipid-binding protein (SMP) domain followed by five (E-Syt1) or three (E-Syt2/3) C2 domains. SMP domains are present in proteins that loc...