The crystal structure of the snake toxin fasciculin, bound to mouse ac
etylcholinesterase (mAChE), at 3.2 Angstrom resolution reveals a syner
gistic three-point anchorage consistent with the picomolar dissociatio
n constant of the complex. Loop II of fasciculin contains a cluster of
hydrophobic residues that interact with the peripheral anionic site o
f the enzyme and sterically occlude substrate access to the catalytic
site. Loop I fits in a crevice near the lip of the gorge to maximize t
he surface area of contact of loop II at the gorge entry. The fascicul
in core surrounds a protruding loop on the enzyme surface and stabiliz
es the whole assembly. Upon binding of fasciculin, subtle structural r
earrangements of AChE occur that could explain the observed residual c
atalytic activity of the fasciculin-enzyme complex.