In the adrenergic receptor subfamily, the seven ␣-helical transmembrane (TM) 1 domains form a crevice for the recognition and binding of ligands (1). The amino acid sequences are highly conserved within the seven hydrophobic TM domains of the three human ␣ 2 -adrenoreceptor (␣ 2 -AR) subtypes (ϳ 75% amino acid identity) (2-5). The ␣ 2 -AR subtypes also share significant structural identity within the TM domains with other members of the adrenoreceptor family (2, 6). For example, of the 182 amino acids comprising the TM domains of the human ␣ 2A -AR, about 40% are identical with the human  2 -AR. The conserved regions are known to contain structural determinants responsible for recognizing and binding the endogenous hormones/neurotransmitters adrenaline and noradrenaline and other receptor ligands (2, 7-9).Phenoxybenzamine (PB) is an irreversible, subtype-nonselective ␣-AR antagonist. PB has been used as a pharmacological tool to study ␣-AR subpopulations in tissue preparations. PB was also the first ␣-AR antagonist to be therapeutically evaluated in humans. It produces long lasting ␣-AR blockade and reduces blood pressure, but its clinical use was limited by severe side effects (10 -12). Although the pharmacology of PB has been studied quite extensively, the molecular basis of its interaction with ␣-ARs has not been examined in detail. It is known that -haloalkylamines, such as PB, cyclize in aqueous solution to form an unstable aziridinium ion, which can bind to target proteins with a strong ionic bond. The aziridinium ion then opens to create a reactive intermediate, with the consequence that a covalent bond between the drug molecule and the binding site can be formed. Side chains of amino acid residues that can be alkylated by haloalkylamines include -SH, -OH, ϭNH, and -COOH (13). Of the susceptible amino acid residues, cysteine (-SH) is the most reactive (14).The helical arrangement of the TM domains indicated by receptor modeling (15,16), in conjunction with analysis of sequence alignments (see Fig. 1), suggested to us an interaction between PB and the TM3 region of the ␣-ARs. The amino acid sequence alignment of TM3 of adrenergic receptors presented in Fig. 1 is validated by the position of the conserved aspartate residue (D 3.32 according to the nomenclature of Ballesteros and Weinstein (17) or position 113 in the ␣ 2A -AR), known to be crucial for binding the charged nitrogen present in adrenergic phenethylamine ligands (7, 9). According to our hypothesis, the reactive aziridinium derivative of PB forms a covalent bond with C 3.36 in TM3 of the ␣ 2A -, ␣ 2B -and ␣ 2C -AR (Fig. 2) (corresponding to amino acid residues 117, 96 and 135, respectively). Also the three ␣ 1 -AR subtypes have a cysteine in this position, but the three -AR subtypes have a valine residue in its place (Fig. 1). To test our hypothesis, we determined the irreversible binding of PB to the three human ␣ 2 -AR subtypes and constructed and tested an ␣ 2A -AR mutant lacking the Cys 117 (Cys 117 was substituted with valine; ␣ 2A -C117V...