The classic muscarinic acetylcholine receptor (mAChR) agonist carbamoylcholine (carbachol) does not seem to be the most obvious lead for the development of selective ligands at nicotinic acetylcholine receptors (nAChRs). In the past, however, N-methylations of carbachol have provided N-methylcarbamoylcholine and N,N-dimethylcarbamoylcholine (DMCC), which predominantly display nicotinic activity. In this study, 12 homologous analogs of DMCC and its corresponding tertiary amine, N,N-dimethylcarbamoyl-N,N-dimethylaminoethanol, were synthesized and their binding affinities to native mAChR and nAChR sites estimated. One of the compounds in the series, 3-N,N-dimethylaminobutyl-N,N-dimethylcarbamate (7), displayed low nanomolar binding affinity to nAChRs and a 400-fold selectivity for nAChRs over mAChRs. Hence, a new series of compounds was synthesized in which alkyl and aryl groups and different ring systems were introduced in the carbamate moiety of 7. In a [3 H]epibatidine binding assay, the K i values of 7 and its analogs at rat ␣22, ␣42, ␣24, ␣34, and ␣44 nAChRs, stably expressed in mammalian cell lines, ranged from low nanomolar to midmicromolar concentrations, whereas all of the compounds displayed weak binding to an ␣7/5-HT 3 chimera and to native mAChRs. Compound 7 and its analogs were determined to be agonists at the ␣34 nAChR subtype. This series includes the most potent and selective nicotinic agonists structurally derived from ACh to date. Furthermore, the compounds are tertiary amines, implying some advantages in terms of bioavailability pertinent to future in vivo pharmacological studies. Finally, observations made in the study hold promising perspectives for future development of ligands selective for specific nAChR subtypes.The neurotransmitter acetylcholine (ACh) exerts its effects in the central and peripheral nervous systems through two distinct classes of receptors, the muscarinic and nicotinic acetylcholine receptors (mAChRs and nAChRs, respectively). The five cloned mAChR subtypes, m1 to m5, are members of the G-protein-coupled receptor superfamily and mediate their effects through intracellular metabolic cascades (Eglen et al., 2001). In contrast, the nAChRs belong to a superfamily of ligand-gated ion channels that also includes receptors for GABA, glycine, and serotonin (5-HT) (Corringer et al., 2000;Karlin, 2002). The nAChRs are involved in a wide array of physiological functions; over the years, nicotinic ligands have attracted considerable interest as potential therapeutics in the treatment of pain and a number of neurodegenerative and psychiatric disorders (Gotti et al., 1997;Lindstrom, 1997; Arneric and Brioni, 1999;Levin, 2002). Furthermore, nicotine replacement therapy has become the predominant treatment for smoking cessation (Arneric and Brioni, 1999;Levin, 2002).The nAChR is a transmembrane allosteric protein complex composed of five subunits. So far, 17 nAChR subunits have been cloned and divided into five muscle-type subunits (␣1, 1, ␥, ⑀, and ␦) and 12 neuronal subun...