TRPV4, a member of the vanilloid subfamily of the transient receptor potential (TRP) channels, is activated by a variety of stimuli, including cell swelling, moderate heat, and chemical compounds such as synthetic 4␣-phorbol esters. TRPV4 displays a widespread expression in various cells and tissues and has been implicated in diverse physiological processes, including osmotic homeostasis, thermo-and mechanosensation, vasorelaxation, tuning of neuronal excitability, and bladder voiding. The mechanisms that regulate TRPV4 in these different physiological settings are currently poorly understood. We have recently shown that the relative amount of TRPV4 in the plasma membrane is enhanced by interaction with the SH3 domain of PACSIN 3, a member of the PACSIN family of proteins involved in synaptic vesicular membrane trafficking and endocytosis. Here we demonstrate that PACSIN 3 strongly inhibits the basal activity of TRPV4 and its activation by cell swelling and heat, while leaving channel gating induced by the synthetic ligand 4␣-phorbol 12,13-didecanoate unaffected. A single proline mutation in the SH3 domain of PACSIN 3 abolishes its inhibitory effect on TRPV4, indicating that PACSIN 3 must bind to the channel to modulate its function. In line herewith, mutations at specific proline residues in the N terminus of TRPV4 abolish binding of PACSIN 3 and render the channel insensitive to PACSIN 3-induced inhibition. Taken together, these data suggest that PACSIN 3 acts as an auxiliary protein of TRPV4 channel that not only affects the channel's subcellular localization but also modulates its function in a stimulus-specific manner.TRPV4 2 is a Ca 2ϩ -and Mg 2ϩ -permeable non-selective cation channel of the vanilloid-type transient receptor potential (TRPV) channel subfamily (1-7). Like other TRP channels, it has six transmembrane-spanning (TM) domains with a putative pore region between TM5 and TM6, and cytoplasmic N and C termini (8,9). TRPV4 is expressed in a broad range of tissues, including the lung, spleen, testis, fat, brain, cochlea, skin, smooth muscle, kidney, liver, and vascular endothelium (1, 2, 10 -12). Due to its broad expression pattern and gating promiscuity, TRPV4 has the potential to play a role in diverse physiological processes (13). Indeed, using knockdown or knock-out strategies, a role for TRPV4 in osmotic homeostasis, thermosensing, pain, and vascular function has been firmly established (14 -19). However, little is known about the mechanisms that regulate TRPV4 function in these different physiological settings, and it is unclear whether all known activation mechanisms are operating in every TRPV4-expressing cell. Heterologously expressed TRPV4 can be activated by a broad range of physical and chemical stimuli, including osmotic cell swelling (1, 2, 4, 20, 21), moderate heat (12, 22), synthetic ligands stimuli as 4␣-phorbol 12,13-didecanoate (4␣-PDD) (13, 23), mechanical force (14, 19, 24 -26), fluid viscosity (27), and endogenous ligands such as anandamide and arachidonic acid (AA)-derived epo...