The chemokine receptors CXCR1 and CXCR2 are G-proteincoupled receptors (GPCRs) implicated in mediating cellular functions associated with the inflammatory response. Potent CXCR2 receptor antagonists have been discovered, some of which have recently entered clinical development. The aim of this study was to identify key amino acid residue differences between CXCR1 and CXCR2 that influence the relative antagonism by two compounds that have markedly different chemical structures. By investigating the effects of domain switching and point mutations, we found that the second extracellular loop, which contained significant amino acid sequence diversity, was not important for compound antagonism. We were surprised to find that switching the intracellular C-terminal 60 amino acid domains of CXCR1 and CXCR2 caused an apparent reversal of antagonism at these two receptors. Further investigation showed that a single amino acid residue, lysine 320 in CXCR2 and asparagine 311 in CXCR1, plays a predominant role in describing the relative antagonism of the two compounds. Homology modeling studies based on the structure of bovine rhodopsin indicated a potential intracellular antagonist binding pocket involving lysine 320. We conclude that residue 320 in CXCR2 forms part of a potential allosteric binding pocket on the intracellular side of the receptor, a site that is distal to the orthosteric site commonly assumed to be the location of antagonist binding to GPCRs. The existence of a common intracellular allosteric binding site at GPCRs related to CXCR2 may be of value in the design of novel antagonists for therapeutic intervention.Chemokines are small, secreted proteins of 8 to 14 kDa that regulate a broad spectrum of cellular functions and typically induce cell movement along a concentration gradient. There are three groups of chemokines exhibiting characteristic cysteine sequence motifs: the C-X-C, C-C, and C-X3-C families (Horuk, 2001). The emergent role of chemokines in immune and inflammatory responses has identified chemokine receptors as attractive targets for therapeutic intervention in various diseases and disorders (D'Ambrosio et al., 2003). The two GPCRs CXCR1 and CXCR2 have been identified as important mediators of inflammation and display distinct ligand specificities. CXCL8 (interleukin-8) and CXCL6 (granulocyte chemotactic protein-2) interact with both CXCR1 and CXCR2; however, the chemokines CXCL5 (epithelial cell-derived neutrophil-activating protein 78), CXCL7 (neutrophil-activating peptide 2), and CXCL1 (growth-related oncogene-␣) are efficacious for CXCR2 only (Wolf et al., 1998). CXCR2 is expressed on a variety of cells including neutrophils, keratinocytes, mast cells, eosinophils, macrophages, and endothelial and epithelial cells. In addition to chemotaxis, activation of CXCR2 is known to stimulate a variety of cellular responses including calcium mobilization, adhesion molecule up-regulation, and angiogenesis. These pleiotropic effects have implicated CXCR2 in the pathology of various diseases wit...