The actions of a novel, potent 5-HT 3 receptor ligand, [2-chloro-(4-methylpiperazine-1-yl)quinoxaline (VUF10166)], were examined at heterologously expressed human 5-HT 3 A and 5-HT 3 AB receptors. VUF10166 displaced [3 H]granisetron binding to 5-HT 3 A receptors expressed in human embryonic kidney cells with high affinity (K i ϭ 0.04 nM) but was less potent at 5-HT 3 AB receptors (K i ϭ 22 nM). Dissociation of [3 H]granisetron in the presence of VUF10166 was best fit with a single time constant (t 1/2 ϭ 53 min) at 5-HT 3 A receptors, but with two time constants (t 1/2 ϭ 55 and 2.4 min) at 5-HT 3 AB receptors. Electrophysiological studies in oocytes revealed that VUF10166 inhibited 5-HT-induced responses at 5-HT 3 A receptors at nanomolar concentrations, but inhibition and recovery were too slow to determine an IC 50 . At 5-HT 3 AB receptors, inhibition and recovery were faster, yielding an IC 50 of 40 nM. Cysteine substitutions in the complementary (Ϫ), but not the principal (ϩ), face of the 5-HT 3 B subunit produced heteromeric receptors in which the actions of VUF10166 resembled those at homomeric receptors. At 5-HT 3 A receptors, VUF10166 at higher concentrations also behaved as a partial agonist (EC 50 ϭ 5.2 M; R max ϭ 0.24) but did not elicit significant responses at 5-HT 3 AB receptors at Յ100 M. Thus, we propose that VUF10166 binds to the common AϩAϪ site of both receptor types and to a second AϩBϪ modulatory site in the heteromeric receptor. The ability of VUF10166 to distinguish between 5-HT 3 A and 5-HT 3 AB receptors could help evaluate differences between these receptor types and has potential therapeutic value.