The structural determinants of nicotinic acetylcholine receptor (AChR) trafficking have yet to be fully elucidated. Hydrophobic residues occur within short motifs important for endoplasmic reticulum (ER) export or endocytotic trafficking. Hence, we tested whether highly conserved hydrophobic residues, primarily leucines, in the cytoplasmic domain of the ␣42 AChR subunits were required for cell surface expression of ␣42 AChRs. Mutation of F350, L351, L357, and L358 to alanine in the ␣4 AChR subunit attenuates cell surface expression of mutant ␣42 AChRs. Mutation of F342, L343, L349, and L350 to alanine at homologous positions in the 2 AChR subunit abolishes cell surface expression of mutant ␣42 AChRs. The hydrophobic nature of the leucine residue is a primary determinant of its function because mutation of L343 to another hydrophobic amino acid, phenylalanine, in the 2 AChR subunit only poorly inhibits trafficking of mutant ␣42 AChR to the cell surface. All mutant ␣42 AChRs exhibit high-affinity binding for [ 3 H]epibatidine. In both tsA201 cells and differentiated SH-SY5Y neural cells, wild-type ␣42 AChRs colocalize with the Golgi marker giantin, whereas mutant ␣42 AChRs fail to do so. The striking difference between mutant ␣4 versus mutant 2 AChR subunits on cell surface expression of mutant ␣42 AChRs points to a cooperative or regulatory role for the ␣4 AChR subunit and an obligatory role for the 2 AChR subunit in ER export. Collectively, our results identify, for the first time, residues within AChR subunits that are essential structural determinants of ␣42 AChR ER export.