The 5 human (h)KCNE b subunits each regulate various cation channels and are linked to inherited cardiac arrhythmias. Reported here are previously undiscovered protein-coding regions in exon 1 of hKCNE3 and hKCNE4 that extend their encoded extracellular domains by 44 and 51 residues, which yields full-length proteins of 147 and 221 residues, respectively. Full-length hKCNE3 and hKCNE4 transcript and protein are expressed in multiple human tissues; for hKCNE4, only the longer protein isoform is detectable. Twoelectrode voltage-clamp electrophysiology revealed that, when coexpressed in Xenopus laevis oocytes with various potassium channels, the newly discovered segment preserved conversion of KCNQ1 by hKCNE3 to a constitutively open channel, but prevented its inhibition of Kv4.2 and KCNQ4. hKCNE4 slowing of Kv4.2 inactivation and positive-shifted steady-state inactivation were also preserved in the longer form. In contrast, full-length hKCNE4 inhibition of KCNQ1 was limited to 40% at +40 mV vs. 80% inhibition by the shorter form, and augmentation of KCNQ4 activity by hKCNE4 was entirely abolished by the additional segment. Among the genome databases analyzed, the longer KCNE3 is confined to primates; full-length KCNE4 is widespread in vertebrates but is notably absent from Mus musculus. Findings highlight unexpected KCNE gene diversity, raise the possibility of dynamic regulation of KCNE partner modulation via splice variation, and suggest that the longer hKCNE3 and hKCNE4 proteins should be adopted in future mechanistic and genetic screening studies.-Abbott, G. W. Novel exon 1 protein-coding regions N-terminally extend human KCNE3 and KCNE4. FASEB J. 30, 2959-2969(2016. www.fasebj.orgIon channels are complex macromolecules that consist of multiple pore-forming and non-pore-forming subunits in vivo. Voltage-gated potassium (Kv) channels are a numerous and diverse class generated by 40 different a subunits in human tissues that can each come together to form the functional assembly, a tetramer of a subunits. The 40 a subunits are categorized into several subfamilies, and subfamily-specific heterotetramerization commonly occurs, which further diversifies the resultant complexes and the currents they generate (1). In addition, multiple different classes of non-pore-forming (b) subunits, either transmembrane or cytosolic, can coassemble with Kv a subunits to create the considerable complexity required for normal cellular functions of higher animals (2).The most widely studied group of transmembrane Kv b subunits are the KCNE proteins, also referred to as MinK-related peptides (3, 4), with .1000 published studies on this gene family to date. KCNE proteins are so widely studied because they can exert sometimes dramatic effects on Kv channel function (5-11), are obligate partners for many Kv a subunits in vivo (5, 6, 9-17), can alter Kv channel pharmacology with respect to clinically relevant and investigational drugs (18,19), and their reach is impressive, each modulating multiple Kv a subunits and, in some c...