CaV1.2 is an L-type calcium channel expressed in several specialized tissues and organs of the body, including our brain, pancreas, heart (striated cardiac muscle) and smooth muscles within the veins and arteries of our vascular system. Well-regulated activity of CaV1.2 is important for gene expression, synaptic plasticity, learning and memory, and excitation-contraction coupling of cardiac muscle. This channel is important because it regulates Ca2+ influx and Ca2+ signaling initiates many processes within cells. Dysfunction and abnormal activity of the channel can lead to various diseases and disorders, such as arrhythmia, autism, epilepsy, Timothy Syndrome, immunodeficiency, hypoglycemia, heart failure, and stroke. For this reason, it is important to understand how CaV1.2 is regulated and how it is involved in various signaling pathways that contribute to physiological processes that are essential for proper body function. In this dissertation, I will reveal how the activity of CaV1.2 in neurons is regulated by both the cytoskeleton-associated protein alpha-actinin-1 (ACTN-1) and the calcium binding protein calmodulin (CaM). Both ACTN-1 and CaM interact with the IQ motif of CaV1.2. ACTN-1 is a protein that crosslinks with F-actin, forming bundles and networks that attach proteins to the membrane. We believe that ACTN-1 anchors CaV1.2 to the membrane surface, promoting surface expression, open probability, and the overall activity of the channel. In our studies, we determined three residues of the pore-forming subunit α11.2 that interact with ACTN-1: K1647, Y1649, and I1654. When mutated to alanine, each of these residues reduced current density and surface expression. Structural analysis revealed that α11.2-K1647 forms a salt bridge with ACTN-1 residues E847 and E851. Over-expression of the inversely charged mutants (α11.2-K1647E or ACTN-1-EE847/851KK) paired with the WT form of the other protein significantly reduced CaV1.2 surface expression compared to wild type protein interactions; the differences in open probability and activity were even more pronounced, indicating that ACTN-1 interaction with the channel exerts additional mechanisms affecting its function beyond its contribution to enhancement of surface expression. Overall, these outcomes suggest that ACTN-1 promotes CaV1.2 channel activity. CaM is well known for its proposed binding to and modulation of CaV1.2 channel activity. Previous studies proposed that apo-CaM (the Ca2+-free form) is pre-associated with the channel to promote channel activity under basal conditions; it is suggested that upon Ca2+ influx, Ca2+ ions bind to the EF-hand of CaM and thereby stimulate Ca2+ dependent inactivation, a rapid process of channel inactivation that is dependent on the presence of Ca2+ and CaM. Our studies reveal that it is the half-calcified CaM (Ca2+ bound to the C-lobe of the CaM EF-hand), and not apo-CaM, that pre-associates with the CaV1.2 IQ motif under basal conditions and thereby supports initial activation of the channel. We propose that under basal conditions, the CaM-bound IQ motif interacts with the EF-hand of CaV1.2, preventing the formation of the α11.2 EF-hand/III-IV linker complex that blocks Ca2+ influx. Voltage stimulation then leads to activation of the channel and calcium influx. Upon Ca2+ influx, CaM becomes fully saturated and undergoes a conformational change that releases the IQ motif from the EF-hand and allows the EF-hand/III-IV linker complex to form, which in turn results in calcium-dependent inactivation of the channel. My biochemical studies, in addition to structural and electrophysiological analyses performed by my peers, support these models. Because both ACTN-1 and CaM bind to the IQ motif of CaV1.2, and in some cases interact with the same residues, these proteins may compete with one another for binding to α11.2 in response to signaling during different physiological processes. Clearly, more studies are necessary to resolve this conundrum and reconcile these findings with the import of these two CaV1.2 interacting proteins for proper channel function during physiological responses.Understanding how CaV1.2 is regulated is critical because the activity of the channel plays a key role in different physiological functions. I will reveal how the hormone angiotensin II (Ang II) contributes to the regulation of CaV1.2 activity in vascular smooth muscle cells (VSMCs) and cardiomyocytes. For VSMCs in the rat aorta, Ang II increases the surface expression of CaV1.2. Upon Ang II stimulation, the enzyme PKC is directed to the sarcolemma by the scaffolding protein AKAP-150 where it phosphorylates CaV1.2 and thereby activates the channel and promotes local Ca2+ influx, a hypothesis strongly supported by published Ca2+ sparklet activity studies. It has been shown that this increase in Ca2+ sparklet activity directly relates to an increase in CaV1.2 expression at the membrane surface. Overall, the increase in channel activity contributes to alterations in vascular tone and thus Ang II-induced hypertension. In contrast, in adult mouse ventricular myocytes, unpublished imaging and electrophysiological studies by our collaborators indicate that acute application of Ang II results in a decrease in CaV1.2 surface expression. Ang II stimulates AT1R/Gq signaling, which activates phospholipase C. This enzyme hydrolyzes PIP2 into inositol trisphosphate and diacylglycerol. PIP2 is an important second messenger and membrane phospholipid that anchors CaV1.2 to the membrane surface. Thus, this depletion of PIP2 likely results in a decrease in CaV1.2 localization and overall activity. This suggests that pathological conditions associated with chronic Ang II stimulation of cardiomyocytes may promote heart failure due to Ang II dysregulation of CaV1.2 surface expression and activity. Finally, I will complete my studies of the role that CaV1.2 plays in physiological processes by investigating the effect that a C-terminal CaV1.2 mutation called “Mutation X” has on endogenous channel surface expression in murine neurons. Mutations in the intronic and noncoding regions of CaV1.2 have been linked to both bipolar disorder and schizophrenia and a single point mutation in the α11.2 I-II linker results in the rare genetic disease Timothy Syndrome in patients that exhibit, along other comorbidities, significant neurological deficits and psychiatric problems. Understanding how the mutation in Mutant X affects channel expression and activity can lead to a more in-depth understanding of how psychiatric disorders are developed and how they are linked to Ca2+ influx irregularities.