It has been shown previously that the long chain fragments of heparin bind to the -strand cationic belt of the three-finger cobra cardiotoxin (or cytotoxin, CTX) and hence enhance its penetration into phospholipid monolayer under physiological ionic conditions. By taking lysophosphatidylcholine (LPC) micelles as a membrane model, we have shown by 1 H NMR study that the binding of heparin-derived hexasaccharide (Hep-6) to CTX at the -strand region can induce conformational changes of CTX near its membrane binding loops and promote the binding activity of CTX toward LPC. The Fourier-transform infrared spectra and NMR nuclear Overhauser effect of Hep-6⅐CTX and CTX⅐LPC complex in aqueous buffer also supplemented the aforementioned observation. Thus, the detected conformational change may presumably be the result of structural coupling between the connecting loops and its -strands. This is the first documentation of results showing how the association of hydrophilic carbohydrate molecules with amphiphilic proteins can promote hydrophobic protein-lipid interaction via the stabilization of its membrane-bound form. A similar mechanism involving tripartite interactions of heparin, protein, and lipid molecules may be operative near the extracellular matrix of cell membranes.Cobra cardiotoxins (or cytotoxins, CTXs) 1 are highly basic, three-fingered polypeptides with the capability of inducing direct lytic effect on many cell types, including cardiac myocytes (1, 2). The available x-ray and NMR structures of CTXs are similar with a short antiparallel double-stranded -sheet connected by loop I and with a long antiparallel triple-stranded -sheet connected by loop II and III. Two distinct types of CTXs, i.e. P-and S-type, can be distinguished by the presence of Pro 30 and Ser 28 , respectively, near the tip of second finger (loop II) based on its binding activity toward neutral phospholipid bilayers and micelles (3). P-type CTXs, including the major CTX A3 from Taiwan cobra (Naja atra) venom, have been shown to induce a reversible formation of an extra outwardly rectifying conductance in bullfrog atrial myocytes (4) and also redistribute themselves between penetrating and peripheral binding states in phosphatidylcholine (PC) dispersion under favorable condition (5). Despite of the apparent perturbing effect of CTX toward phospholipid membranes, it is not clear how CTXs might act specifically toward different cell types.Recently, it was suggested that the sulfated polysaccharides such as glycosaminoglycans (GAGs), which are abundant in the extracellular matrix of most animal cells, are potential targets for CTX action (6 -8). Heparin not only binds to homologous CTXs, with different specificity, but also promotes its penetration into phospholipid monolayer under physiological ionic conditions (6). Analysis of binding of 10 CTX homologues to heparin reveals a new heparin-binding structural motif by involving several positive residues at the concave surface of the three-finger toxin (7). The positive residues flanking the...