Crotamine is a component of the venom of the snake Crotalus durissus terrificus and it belongs to the myotoxin protein family. It is a 42 amino acid toxin cross-linked by three disulfide bridges and characterized by a mild toxicity (LD 50 ¼ 820 lg per 25 g body weight, i.p. injection) when compared to other members of the same family. Nonetheless, it possesses a wide spectrum of biological functions. In fact, besides being able to specifically modify voltage-sensitive Na + channel, it has been suggested to exhibit analgesic activity and to be myonecrotic. Here we report its solution structure determined by proton NMR spectroscopy. The secondary structure comprises a short N-terminal a-helix and a small antiparallel triple-stranded b-sheet arranged in an ab 1 b 2 b 3 topology never found among toxins active on ion channels. Interestingly, some scorpion toxins characterized by a biological activity on Na + channels similar to the one reported for crotamine, exhibit an a/b fold, though with a b 1 ab 2 b 3 topology.In addition, as the antibacterial b-defensins, crotamine interacts with lipid membranes. A comparison of crotamine with human b-defensins shows a similar fold and a comparable net positive potential surface.To the best of our knowledge, this is the first report on the structure of a toxin from snake venom active on Na + channel.Keywords: b-defensin; myotoxin; NMR; scorpion toxin; structure.Despite the fact that Na + channels are affected by a large variety of toxins from arthropods, coelenterates, microorganisms, fish and plants, they are seldom the targets of toxins from snake venom [1]. One exception is crotamine (Crt), a protein of 42 amino acids present in the venom of Crotalus durissus terrificus [2,3] and characterized by a wide spectrum of biological activities. This toxin, in fact, has been known for a long time to be able to induce membrane depolarization dependent muscle contractions by increasing the Na + permeability of skeletal muscle membranes [4-9] and to affect, in an allosteric fashion, the action of other Na + channel neurotoxins (i.e. tetrodotoxin, veratridine, batrachotoxin and grayanotoxin) [4,5,[7][8][9][10]. In addition, while loose patch-clamp recording of macroscopic sodium currents in frog skeletal muscle has revealed that Crt inhibits the inactivation of the Na + channel in a fashion similar to that of scorpion a-toxins [11], other experiments have shown that, at low doses, it has an analgesic activity involving both central and peripheral mechanisms [12]. Moreover, Crt actively interacts with lipid membranes being able to form vacuoles and exhibiting myonecrotic activity [13,14].Crt belongs to a family of small basic rattlesnake venom myotoxins that includes myotoxin a [15], peptide C [16], myotoxin I and II [17] and the CAM toxin [18]. They exhibit high primary sequence identity (Fig. 1) and, in addition, they are antigenically related [19]. However, when compared to the other members of the family, Crt exhibits a reduced toxicity (intraperitoneal injection LD 50 ¼ 820 lg per ...