Neuronal precursor cell-expressed developmentally downregulated 4 (Nedd4) was the first ubiquitin protein ligase identified to interact with connexin43 (Cx43), and its suppressed expression results in accumulation of gap junction plaques at the plasma membrane. Nedd4-mediated ubiquitination of Cx43 is required to recruit Eps15 and target Cx43 to the endocytic pathway. Although the Cx43 residues that undergo ubiquitination are still unknown, in this study we address other unresolved questions pertaining to the molecular mechanisms mediating the direct interaction between Nedd4 (WW1-3 domains) and Cx43 (carboxyl terminus (CT) 279 to interact with the back face of -strand 3 (Tyr 286 is on the front face) and loop 2, forming a horseshoe-shaped arrangement. The close sequence identity of WW2 with WW1 and WW3 residues that interact with the Cx43CT PPXY motif and Ser(P) 279 /Ser(P) 282 strongly suggests that the significantly lower binding affinity of WW1 is the result of a more rigid structure. This study presents the first structure illustrating how phosphorylation of the Cx43CT domain helps mediate the interaction with a molecular partner involved in gap junction regulation.Gap junction channels serve to directly interconnect the cytoplasm of neighboring cells, allowing the passage of ions, metabolites, and signaling molecules. Gap junction intercellular communication is an important process that mediates electrical impulse propagation, regulation of cell growth, and whole organ development. Gap junction channels are formed by the apposition of connexons from adjacent cells where each connexon is formed by six connexin proteins. Connexins share a similar topology of four transmembrane domains, two extracellular loops, and three cytoplasmic domains (N terminus, cytoplasmic loop, and C terminus (CT) 3 ). Of the 21 human connexins, connexin43 (Cx43) is the most completely characterized isoform in terms of channel gating properties (1), identified phosphorylation sites (2), known protein partners (3), connexon assembly (4), and channel degradation (5-7).Unlike most membrane proteins, connexins exhibit exceptionally high turnover rates with half-lives ranging from 1.5 to 5 h (8). The initial step leading to degradation, internalization from the plasma membrane, is a complex process because docked connexons are unable to be separated under physiological conditions (9). Consequently, removal from the plasma membrane is directionally regulated as internalization of the channels within one of the coupled cells forms a double membrane macrostructure called an annular gap junction or connexosome (10); clathrin and other endocytic adaptors have been shown to be involved in this process (11)(12)(13)(14). Degradation of connexins involves both the lysosomal (endosome or autophagy) and proteasomal pathways (15)(16)(17). Implicated in the regulation of these processes are post-translational modifications (18). For example, studies using cultured cells have shown that activation of protein kinase C (PKC) or mitogenactivated prote...