Voltage-gated sodium channels (VGSCs) consist of a pore-forming ␣-subunit and regulatory -subunits. Several families of neuroactive peptides of Conus snails target VGSCs, including Oconotoxins and -conotoxins. Unlike -conotoxins and the guanidinium alkaloid saxitoxin (STX), which are pore blockers, O-conotoxins MrVIA and MrVIB inhibit VGSCs by modifying channel gating. O-MrVIA/B can block Na V 1.8 (a tetrodotoxinresistant isoform of VGSCs) and have analgesic properties. The effect of Na V -subunit coexpression on susceptibility to block by O-MrVIA/B and STX has, until now, not been reported. Here, we show that 1-, 2-, 3-, and 4-subunits, when individually coexpressed with Na V 1.8 in Xenopus laevis oocytes, increased the k on of the block produced by O-MrVIB (by 3-, 32-, 2-, and 7-fold, respectively) and modestly decreased the apparent k off . Strong depolarizing prepulses markedly accelerated MrVIB washout with rates dependent on -subunit coexpression. Thus, coexpression of -subunits with Na V 1.8 can strongly influence the affinity of the conopeptide for the channel. This observation is of particular interest because -subunit expression can be dynamic, e.g., 2-expression is up-regulated after nerve injury (J Neurosci, 25: 10970 -10980, 2005); therefore, the effectiveness of a O-conotoxin as a channel blocker could be enhanced by the conditions that may call for its use therapeutically. In contrast to MrVIB's action, the STX-induced block of Na V 1.8 was only marginally, if at all, affected by coexpression of any of the -subunits. Our results raise the possibility that O-conotoxins and perhaps other gating modifiers may provide a means to functionally assess the -subunit composition of VGSC complexes in neurons.