Alcohols and volatile anesthetics enhance the function of inhibitory glycine receptors (GlyRs). This is hypothesized to occur by their binding to a pocket formed between the transmembrane domains of individual ␣1 GlyR subunits. Because GlyRs are pentameric, it follows that each GlyR contains up to five alcohol/anesthetic binding sites, with one in each subunit. We asked how many subunits per pentamer need be bound by drug in order to enhance receptormediated currents. A cysteine mutation was introduced at amino acid serine 267 (S267C) in the transmembrane 2 domain as a tool to block GlyR potentiation by some anesthetic drugs and to provide a means for covalent binding by the small, anesthetic-like thiol reagent propyl methanethiosulfonate. Xenopus laevis oocytes were coinjected with various ratios of wild-type (wt) to S267C ␣1 GlyR cDNAs in order to express heteromeric receptors with a range of wt:mutant subunit stoichiometries. The enhancement of GlyR currents by 200 mM ethanol and 1.5 mM chloroform was positively correlated with the number of wt subunits found in heteromeric receptors. Furthermore, currents from oocytes injected with high ratios of wt to S267C cDNAs (up to 200:1) were significantly and irreversibly enhanced following propyl methanethiosulfonate labeling and washout, demonstrating that drug binding to a single subunit in the receptor pentamer is sufficient to induce enhancement of GlyR currents.Although volatile anesthetics were long believed to have nonspecific, lipid-based mechanisms of action, accumulating evidence led to a shift in research focus to the study of protein sites of anesthetic action and especially to the effects of these drugs on ion channels (1, 2). Among the most studied molecular targets for these drugs are members of the Cysloop family of ligand-gated ion channels, including the glycine receptor (GlyR), 2 the primary inhibitory neurotransmitter receptor in the spinal cord and brain stem (3). Studies in rats have shown that GlyRs mediate the immobilizing effects of the anesthetics halothane, isoflurane, and cyclopropane (4). In transgenic mice expressing an alcohol-insensitive mutant GlyR, these receptors mediate, at least in part, the sedating and anesthetic effects of alcohol (5). These in vivo data agree with functional studies indicating that pharmacologically relevant concentrations of alcohols and volatile anesthetics potentiate GlyRs in both brain slices and heterologous expression systems (6 -9).Significant advances have been made in the understanding of the molecular mechanisms of alcohol and volatile anesthetic enhancement of GlyR function. The GlyR consists of a pentameric assembly of subunits surrounding a central, anion-conducting pore (10). Each of these subunits contains a large, N-terminal extracellular domain responsible for agonist binding, as well as four transmembrane (TM) domains, of which TM2 lines the channel pore and forms the channel gate (11). Mihic et al. (12) identified two amino acids, serine 267 (Ser-267) in TM2 and alanine 288 (Ala-288) in TM...