Connexin channels help maintain eye lens homeostasis and transparency. The G143R missense substitution in connexin (Cx) 46 is associated with congenital Coppock cataracts; however, the underlying molecular mechanism is largely unknown. Here, we report that compared with wild type (WT) Cx46, the G143R substitution abolishes hemichannel conductance in Xenopus oocytes and in HeLa cells. Moreover, this substitution is dominant-negative and inhibits conductance of WT Cx46. CD analysis indicated that the substitution greatly reduces the α-helical structure of the intracellular Cx46 loop domain. Protein pulldown assays and isothermal titration calorimetry (ITC) revealed that this Cx46 domain directly interacts with calmodulin (CaM) in a Ca 2+ -dependent fashion, an observation confirmed by immunofluorescent co-localization of Cx46 with CaM. Interestingly, the G143R substitution enhanced the Cx46-CaM interaction and attenuated its abolishment by Ca 2+ depletion. Moreover, Cx46 increased dye influx, and the G143R substitution augmented this effect. Inhibition of Ca 2+ -mediated CaM activation blocked hemichannel permeability. The membrane potential plays a crucial role in Cx46 membrane permeability. We found that the activity of hemichannels is detectable under rest and hyperpolarization conditions, but is eliminated with depolarization. These results suggested that the G143R substitution impairs voltage-dependent electrical conductance and alters membrane permeability mediated by Cx46 hemichannels. The latter likely is caused by the substitution-induced structural changes of the intracellular loop domain associated with the increased interaction with CaM and reduced Ca 2+ sensitivity. The data suggest that the G143R-induced enhancement of the CaMCx46 interaction results in altered hemichannel activities and might be related to cataract formation.The lens is a clear part of the anterior eye that focuses light and images onto the retina. Cataracts, referring to the clouding of the lens, are responsible for 51% of world blindness according to WHO data in 2010 (1). The lens has three main parts; the capsule, the epithelial layer in the anterior portion, and fiber cells which comprise the bulk of lens (2). Lens fiber cells communicate to each other and to the surface of the lens by gap junction channels and hemichannels. These allow small molecules (< 1.2 kDa) like ions, second messenger and metabolites to pass through adjacent cells (3-5). Lens is an avascular organ and thus relies in part upon gap junction channels and hemichannels to maintain its metabolic homeostasis and transparency. Hemichannels, also called connexins, are undocked http://www.jbc.org/cgi