5-Hydroxytryptamine (5-HT, serotonin) type 3 (5-HT 3 ) receptors belong to the alcohol-sensitive superfamily of Cys-loop ligandgated ion channels, and they are thought to play an important role in alcoholism. Alcohols with small molecular volumes increase the amplitude of currents evoked by low 5-HT concentrations and shift the 5-HT concentration-response curve for 5-HT 3 receptor activation leftward, indicative of increased receptor sensitivity to agonist. This action is significantly smaller when currents are mediated by heteromeric 5-HT 3AB receptors compared with homomeric 5-HT 3A receptors. In this study, we used the highly inefficacious 5-HT 3 receptor agonist dopamine to determine whether this difference between 5-HT 3A and 5-HT 3AB receptors reflects differential alcohol modulation of agonist binding affinity or channel gating efficacy. Human recombinant 5-HT 3A and 5-HT 3AB receptors were expressed in Xenopus oocytes, and currents were measured in the absence and presence of alcohols using the two-electrode voltageclamp technique. Modulation by alcohols of peak currents elicited by maximally activating concentrations of dopamine was alcohol concentration-dependent. Potentiation by smaller alcohols was consistently significantly greater in 5-HT 3A than in 5-HT 3AB receptors, whereas inhibition by larger alcohols was not. A representative small (butanol) and large (octanol) alcohol failed to alter the EC 50 value for channel activation by dopamine. We conclude that the presence of the 5-HT 3B subunit in 5-HT 3AB receptors significantly reduces the enhancement of gating efficacy by small alcohols without altering the inhibitory actions of large alcohols.The 5-hydroxytryptamine (5-HT, serotonin) type 3 (5-HT 3 ) receptor is a pentameric cation channel belonging to the anesthetic-sensitive superfamily of Cys-loop ligand-gated ion channels that also includes the nicotinic acetylcholine receptor, GABA A receptor, and glycine receptor. Five human 5-HT 3 receptor subunits (A, B, C, D, and E) have been cloned (Maricq et al., 1991;Davies et al., 1999;Dubin et al., 1999;Karnovsky et al., 2003;Niesler et al., 2003). However, only the 5-HT 3A and the 5-HT 3B subunit have been shown to form functional receptors. Furthermore, whereas 5-HT 3A subunits can form functional homomeric receptors, 5-HT 3B subunits must combine with 5-HT 3A subunits to form functional heteromeric receptors. In general, 5-HT 3A receptors are more widely distributed in the central nervous system than 5-HT 3AB receptors. Expression of the latter has been detected by some (Davies et al., 1999;Dubin et al., 1999;Monk et al., 2001;Reeves and Lummis, 2006) but not all (Morales and Wang, 2002) studies in specific areas of the mammalian brain with strongest expression found in the amygdala and the hippocampus. 5-HT 3 receptors are thought to play an important role in alcoholism (McBride et al., 2004), and clinical studies have shown that 5-HT 3 receptor antagonists are effective at reducing the craving for alcohol, the number of drinking episo...