A major focus of current research on the nicotinic acetylcholine recep
tor (AChR) has been to understand the molecular mechanism of ion chann
el inhibition. In particular, we put special emphasis on the descripti
on of the localization of the agonist self-inhibitory binding site. Bi
nding of agonist in the millimolar concentration range to this particu
lar site produces inhibition of the ion flux activity previously elici
ted by the same agonist at micromolar concentrations. Due to the simil
itude in the pharmacological and electrophysiological behavior in inhi
biting the ion channel of both high agonist concentrations and noncomp
etitive antagonists, we first describe the localization of noncompetit
ive inhibitor binding sites on the AChR. There is a great body of expe
rimental evidence for the existence and location of luminal high-affin
ity noncompetitive inhibitor binding sites. In this regard, the most s
imple mechanism to describe the action of noncompetitive inhibitors wh
ich bind to luminal sites and, by its semblance, the agonist self-inhi
bition itself, is based on the assumption that these compounds enter t
he open channel, bind to different rings within the M2 transmembrane d
omain of the receptor, and block cation flux by occluding the receptor
pore. However, the existence of high-affinity nonluminal noncompetiti
ve inhibitor binding sites is not consistent with the open-channel-blo
cking mechanism. Instead, the presence of the quinacrine locus at the
lipid-protein (alpha M1) interface similar to 7 Angstrom from the lipi
d-water interface and the ethidium domain located similar to 46 Angstr
om from the membrane surface in the wall of the vestibule open the pos
sibility for the regulation of cation permeation by an allosteric proc
ess. Additionally, the observed (at least partially) overlapping betwe
en the quinacrine and the agonist self-inhibitory binding site also su
ggests an allosteric process for agonist self-inhibition. For this alt
ernative mechanism, cholinergic agonist molecules first need to be par
titioned into (or to be adsorbed onto) the lipid membrane to further i
nteract with its binding site located at the lipid-protein interface.
(C) 1996 Wiley-Liss, Inc.